下斜方肌岛状皮瓣修复颈部放射性溃疡

The repair of cervical postradiation ulcer treated with inferior trapezius island myocutaneous flap

目的 探讨颈部慢性放射性溃疡创面应用下斜方肌岛状肌皮瓣修复的可行性与效果。 方法 自 1992年～1998年 12月应用下斜方肌岛状肌皮瓣移植修复颈部放射性溃疡创面 49例。 结果 49例颈部创面Ⅰ期愈合 ,未出现新溃疡。 结论 下斜方肌岛状肌皮瓣具有血管恒定、面积大的特点 ,是修复颈部放射性溃疡的优良供区之一。

Ojective To evaluate the effect of inferion trapezius island myocutaneous flap on repairing cervical postradiation ulcer (CPU). Methods Forty-nine patients with CPU were treated by inferior trapezius island myocutaneous flap from 1992 to 1998. Results 49 patients ulcer obtained primary healing. No recurrent ulcer occurred. Conclusions The inferior trapezius myocutaneous. island flap has some advantages of invaiable vascular supply and a large areas of myocutaneous flap, so it is an ideal donor site for cervical postradiation ulcer.