肌皮瓣对放射性溃疡和瘢痕的治疗

TREATMENT OF RADIO ULCERS AND SCARS WITH THE MUSCLE FLAP

放射线引起的皮肤溃疡、瘢痕及在此基础上的癌变,是临床上的常见病。在治疗上给成形外科提出了很多难题。既往我们在治疗此类疾病时采用皮片和皮瓣的方法,但结果是住院时间长,复发率高,愈后亦不能令人满意。肌皮瓣的临床应用为上述缺损的修复提供了良好的前景。我科1980年以来用肌皮瓣对放射性引起的烧伤溃疡、瘢痕进行了治疗,取得了良好的效果,现报道如下:

The cutaneous ulcers caused by radioactive rays, scars and the canceration arising from them are clinically commen conditions, which have been challenging the doctors in plastic surgery. Previously we used skin slices and flaps to treat this type of impairments, but with no good result. The patients treated as such had a long duration of hospitalization and a high relapse. The healing was not satisfactory. The clinical application of the muscle flap af-fords an extensive prospect of treating this type of impairments.Since 1980. we have applied the muscle flap to treating radio ulcers and scars, and scored a good result. This article recommends to the readers the application of the muscle flap to treating the radio ulcers and the scars, associated with the introduction of some cases The article also includes the discussion of the characteristics of the radio ulcer and the scar, of the superiority of the muscle flap to skin slices and flaps and of thp points for attention in an operation.