修复严重放射性溃疡的临床研究  

Study on the repair of severe radiation-induced ulceration

作　　者：谭军强[1] 吴中强[1] 谢广富[1] 

机构地区：[1]高州市人民医院烧伤科,广东高州525200

出　　处：《岭南现代临床外科》2014年第3期305-308,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的使用皮瓣或肌皮瓣对严重放射性溃疡进行修复的临床经验。方法对我科在2010年1月至2012年1月，采用各种皮瓣或肌皮瓣方法修复治疗的22例放射溃疡患者病例进行回顾性分析，其中使用背阔肌皮瓣4例，侧腹壁皮瓣3例，脐旁皮瓣3例，股前外侧皮瓣4例，胸大肌皮瓣6例，臀大肌皮瓣2例。结果22例患者中有2例出现了皮瓣远端局部坏死．经换药治疗后创面闭合。其他20例皮瓣全部成活，伤口一期愈合。经1～2年随访，15例患者皮瓣外观良好，质地柔软，临床溃疡无复发。结论临床采用皮瓣或者肌皮瓣治疗严重放射性溃疡．能够获得良好治疗效果，并能有效预防溃疡复发，值得推广。Objective To investigate the method to repair severe radiation-induced ulceration and evaluate its clinical effects. Methods Twenty-two cases with severe radiation-induced ulceration treated by flaps or musculocutaneous flaps transfer in our hospital from Jan 2010 to Jan 2012 were respectively analyzed. Of 22 case, 4 cases were treated by latissimus dorsa flaps, 3 cases by lateral abdominal flap, 3 cases by paraumbilical flap, 4 cases by anterolateral femoral flaps , 6 cases by pectoralis majorflap, 2 cases by gluteus maximus muscle flap. Results 20 cases flaps survived with primary healing, 2 cases flap with partial distal necrosis. The colour and texture of the flaps were excellent, and the outline and functional results were satisfactory after 1 to 2 years follow-up. There was no ulcer recurrence. Conclusion The efficacy of cervical radiation induced ulceration by flaps and musculocutaneous flaps was proved. The reconstruction could prevent the recurrence of ulcer.

关 键 词：放射性溃疡 皮瓣 移植 

分 类 号：R628[医药卫生—整形外科]