摘要
目的探讨颈胸真皮下血管网薄皮瓣修复颌颈部瘢痕的临床效果。方法１９９０年３月～１９９８年５月应用颈胸真皮下血管网薄皮瓣修复颌颈烧伤瘢痕畸形２１例，皮瓣最大１４ｃｍ×８ｃｍ，最小８ｃｍ×５ｃｍ，供瓣区直接拉拢缝合。结果除１例皮瓣远端部分坏死外，其余２０例皮瓣均完全成活。随访６个月～３年６个月，皮瓣功能及外形均满意。结论颈胸真皮下血管网薄皮瓣可提供的皮瓣面积大，质地柔软，手术较为简便，适合颌颈部较大面积缺损的修复。
Objective To evaluate the clinical efficacy of thin flap with subdermal vascular network of the neck pectoral region on repair of the contracture of the burn scar on the neck. Methods From March 1990 to May 1998, 21 cases of deformity of neck due to burn scar were repaired with the thin flap ranging from 8 cm×5 cm to 14 cm×8 cm, and all of the cases were followed up for 6 to 42 months.Results Except partial necrosis of the distal end of the flap in 1 case, the flaps in the other 20 cases all survived and presented a satisfactory appearance and function.Conclusion The thin flap with subdermal vascular network in neck pectoral region may provide a large area of flap, and could be easily transferred. It's an ideal flap for the repair of skin defect on the neck.
出处
《中国修复重建外科杂志》
CAS
CSCD
1999年第3期164-166,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
真皮下血管网
薄皮瓣
颈部瘢痕
挛缩
修复
Subdermal vascular network Thin flap Scar of the neck Contracture
