游离背阔肌肌皮瓣治疗头皮巨大瘢痕癌  

Free latissimus dorsi myocutaneous flap transfer for treatment of advanced Marjolin's ulcer in scalp

作　　者：曾玮[1] 杨红岩[1] 郭伶俐[1] 乌兰哈斯[1] 柴密[1] 韩岩[1] 

机构地区：[1]解放军总医院整形修复科

出　　处：《武警医学》2013年第4期334-336,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨背阔肌肌皮瓣游离移植在修复头皮巨大瘢痕癌中的临床应用。方法 2009-10至2012-09我科共收治5例头皮巨大瘢痕癌患者,病变面积6 cm×8 cm～11 cm×10 cm,均侵犯颅骨,其中1例侵入颅内。均采用背阔肌肌皮瓣游离移植修复,皮瓣面积14 cm×13 cm～17 cm×16 cm。结果 5例背阔肌肌皮瓣移植术后均顺利成活,无并发症,皮瓣质地柔软,略高出周围皮肤。结论游离背阔肌肌皮瓣组织量大,血供丰富,设计灵活,是目前修复大面积头皮瘢痕癌切除后缺损较为理想的方法。Objective To study the clinical use of free latissimus dorsi myocutaneous flap for the treatment of advanced Marjo-lin＇ s ulcer in the scalp. Methods From October 2009 to September 2012, five patients with large advanced Marjolin＇ s ulcer of the scalp were treated in this department. The size of the skin defects ranged from 6 cm×8 cm to 11 cm×10 cm, all with skull defects. Free latissimus dorsi myocutaneous flap is used for reconstruction of the defect after extensive resection of the ulcer. Results All the flaps survived with no complications after surgery. Conclusions Free lutissimus dorsi myocataneous flap was a good option for the treatment of advanced Marjolin＇ s ulcer in the scalp.

关 键 词：头皮瘢痕癌 背阔肌肌皮瓣 游离移植 

分 类 号：R622.1[医药卫生—整形外科]