游离股前外侧穿支皮瓣修复烧伤瘢痕癌切除后皮肤软组织缺损  

Application of free anterolateral thigh flap for the treatment of burn scar carcinoma

作　　者：周为军[1] 宋朝晖[1] 郭智龙[1] 李朝阳[1] 

机构地区：[1]新疆维吾尔自治区人民医院整形外科,乌鲁木齐830001

出　　处：《中华整形外科杂志》2014年第4期251-254,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨游离股前外侧穿支皮瓣修复烧伤瘢痕癌术后皮肤软组织缺损的临床效果.方法 2005年6月至2013年2月,收治10例头面部、四肢等部位烧伤后瘢痕癌,对瘢痕癌行根治性扩大切除,遗留的皮肤软组织缺损应用股前外侧穿支皮瓣游离移植修复.对术后效果和供区恢复情况进行评价.结果 10例患者术后皮瓣全部一期成活,皮瓣色泽红润、有弹性,毛细血管充盈度较好,针刺后皮瓣有出血,皮瓣存活良好,未见明显皮瓣下积脓、坏死,未见明显动静脉裸露形成的血肿、皮瓣移动甚至脱落等现象.平均手术时间为7h,术后未见明显肌肉坏死等严重并发症.术后随访5个月至2年,平均1年,皮瓣外观及形态良好,未见瘢痕癌肿复发,恢复满意,其中有6例皮瓣上可见体毛生长.供区无功能障碍,左右侧大腿活动无明显受限,活动自如,皮肤愈合良好.结论 游离股前外侧穿支皮瓣可以很好地修复烧伤后瘢痕癌切除术后皮肤软组织缺损.Objective To discuss the therapeutic effect of free anterolateral thigh flap for the treatment of burn scar carcinoma.Methods From Jun.2005 to Feb.2013,10 cases with burn scar carcinoma at craniofacial area and extremities underwent radical excision and transposition of free anterolateral thigh flaps for the leaving wounds.Results The flaps in 10 cases survived completely and primarily without any complications.The operation time was 7 hours in average.The patients were followed up for 5 months to 2 years（1 year,in average） without no recurrence and no functional morbidity in donor sites.The cosmetic results were satisfactory in all the cases,even with hair growth in 6 cases.Conclusion The free anterolateral thigh flap is suitable for the treatment of burn scar carcinoma.

关 键 词：游离皮瓣 烧伤 瘢痕 癌 

分 类 号：R739.5[医药卫生—肿瘤]