肩胛部皮瓣在腋窝瘢痕挛缩畸形整复中的应用  

Apply Scapular Region Flap to Deformity Reconstructive of Axillary Scar

作　　者：周维忠[1] 张智渊[1] 陈明智[1] 袁媛[2] 刘宁[2] 

机构地区：[1]贵州省兴义市人民医院,贵州兴义562400 [2]贵阳医学院附属医院

出　　处：《中国医学创新》2015年第7期129-131,共3页Medical Innovation of China

摘　　要：目的：观察应用肩胛部皮瓣转移修复腋窝严重瘢痕挛缩畸形的临床效果，总结肩胛部皮瓣在腋窝瘢痕挛缩畸形整复中的临床应用经验，并探讨其应用的可行性。方法：对本组11例13侧严重腋窝瘢痕挛缩畸形患者进行瘢痕松解、转移肩胛部皮瓣修复。结果：本组11例患者13侧肩胛部皮瓣完全成活，其中一例皮瓣远端皮下脂肪液化、裂开约2 cm，经换药缝合后愈合；创面均得以满意修复，术后随访6个月~2年，皮瓣色泽好，质地优良，不臃肿，外观满意，腋窝均未再次发生瘢痕挛缩，肩关节功能良好。结论：肩胛部皮瓣具有面积大、血供可靠、距离腋窝较近、切取方便、不牺牲主干血管及供区隐蔽、可直接缝合等优点，是修复腋窝瘢痕挛缩的理想方法之一。Objective：To study the clinical effect of repairing serious scar contracture of axilla by applying scapular region flap. To summarize the experiences of clinical scapular region flap application, and discuss its feasibility. Method： 11 patients with 13 parts of serious scar contracture of axilla were organized scar release. All patients got repaired by transferring scapular region flap.Result：11 patients with 13 parts of serious scar contracture of axilla getting repair were totally successful. Among them,one patient’s distal subcutaneous fat of flap became fat liquefaction, and with 2 cm dehiscence,changed fresh dressing and suturing, the repaired parThealed. Doctors and patients all satisfied with wood surface. Post-operation follow-up 6 monthes to 2 years, all patients wood surface looked good without edema and the axilla never happen scar contracture again. Shoulder joint work normally.Conclusion：The scapular region flap is one of the best way of repairing scar contracture of axilla,which with following advantages：scapular region flap with large area,reliable blood supply,without sacrifice main blood vessel can be easily get,and can be directly sutured and so on.

关 键 词：肩胛部皮瓣 腋窝瘢痕 修复外科手术 

分 类 号：R622[医药卫生—整形外科]