改良背阔肌皮瓣在胸壁缺损中的应用  

The Application of Improved Latissimus Dorsi Flap (muscle) in the Chest Wall Defect

作　　者：潘乐[1] 周强[1] 钟展芳[1] 黄盈[1] 

机构地区：[1]肇庆市第一人民医院烧伤整形科,广东肇庆526040

出　　处：《现代诊断与治疗》2013年第10期2173-2175,共3页Modern Diagnosis and Treatment

摘　　要：目的探讨改良背阔肌皮瓣在胸壁缺损中的临床应用效果。方法选择近10年来我院接受胸部胸壁缺损治疗的患者30例,其中15例采用改良的改良背阔肌肌皮瓣进行治疗,另15例采用传统背阔肌(肌)皮瓣术进行治疗,分别以两组患者的并发症发生率、皮瓣存活率及活动舒适度作为临床评价指标,进行比较分析。结果观察组术后并发症发生率仅为6.6%,对照组为46.6%,观察组术后活动舒适度均明显优于对照组,P<0.05,两组患者的术后皮瓣存活率无显著性差别,P>0.05,具有统计学意义。结论改良的窄蒂背阔肌(肌)皮瓣修补术对于胸壁缺损的修补具有术后并发症率低、皮瓣存活率高及活动舒适等优点,值得进行临床推广应用。Objective To explore the effects of the improved latissimus dorsi flap （muscle） used in the chest wall defect. Methods Selected 30 cases who came to our hospital for chest wall defect treatment in the last 10 years were selected.15 cases who were used the improved latissimus dorsi flap （muscle）, other 15 cases who were used the traditional latissimus dorsi flap （muscle）.The incidence of complica- tions, flap survival and activity comfort were uesd as the clinical evaluation. Results The incidence of complications in the observation group was 6.6% ,the control group was 46.6%, and the activity comfort of the observation group was obviously higher than the control group, P〈0.05; There was no obvious dif- ference in the flap survival of the two groups, P〉0.05. Conclusion The improved latissimus dorsi flap （muscle） can decrease the incidence of complications, and increase the flap survival and activity com- fort. It is worth for widely clinical application.

关 键 词：改良背阔肌皮瓣 胸壁缺损 应用 

分 类 号：R622.2[医药卫生—整形外科]