颈胸筋膜皮瓣在面颈部度烧伤创面中的应用

APPLICATION OF FASCIOCUTANEOUS FLAP IN REPAIRING Ⅲ° BURN WOUND IN FACIO-CERVICAL REGION

目的 探讨颈胸筋膜皮瓣修复面颈部 度烧伤的临床效果。方法 1997年 1月～ 2 0 0 1年 10月应用颈胸筋膜皮瓣修复面颈部 度烧伤创面 11例 ,皮瓣最大 18cm× 8cm,最小 13cm× 5 cm。供瓣区经 Z字整形术后直接缝合 ,或移植中厚皮片覆盖。 结果 11例颈胸筋膜皮瓣移位 ,除 1例皮瓣远端有小面积坏死 ,经换药愈合 ,余 10例皮瓣完全成活。术后随访 3个月～ 3年 ,移位皮瓣质地柔韧 ,挛缩轻 ,色泽正常 ,外形满意 ,能满足受区功能要求。供瓣区易于封闭 ,对供区功能影响小。结论 颈胸筋膜皮瓣血运丰富 ,抗感染力强 ,切取简便 ,易于操作 ,是修复面颈部较大创面 ,特别是合并感染、血供不良或血管、神经、肌腱裸露创面的首选方法。

Objective To evaluate the clinical efficacy of fasciocutaneous flap in the repair of the Ⅲ° burn wound in the facio cervical region. Methods From January 1997 to October 2001, 11 cases of Ⅲ° burn wounds in the facio cervical region were repaired with the cervical thoracic fasciocutaneous flap ranging from 18 cm×8 cm to 13 cm× 5 cm. The donor sites were covered with 'Z' plasty or skin grafting. Results Except for partial necrosis of distal end of the flap in 1 case, the flaps in the other 10 cases all survived and presented satisfactory appearance and function during the following up. Conclusion The fasciocutaneous flap in the cervical thoracic region may provide a large area of flap, and can be easily transferred. It's an ideal flap for the repair of skin defect in the facio cervical region, especially for the repair of the wounds with infection or exposure of vessel, nerve and tendon.