下斜方肌肌皮瓣在修复头颈部严重电击伤中的应用.pdfVIP

.376. Joumal of Tissue Engineering and Reconstructive Surgery, December 2015 , Vol.l l No.6 ·论著· doi: 10.3969/j .issn.1673-0364.20 15.06.008 下斜方肌肌皮瓣在修复头颈部严重电击伤中的应用 许5董余勇武朱明 [摘要] 目的 探讨下斜方肌肌皮瓣修复头颈部深度电烧伤创面的效果。方法 2007 年起，应用下斜方肌肌皮瓣转移 修复 5 例头颈部严重电烧伤患者创面。结果 5 例下斜方肌肌皮瓣全部成活。术后随访 3-24 个月，头颈部外形和功能 恢复满意，元肩脚下垂畸形。结论 下斜方肌肌皮瓣血运可靠，手术切取简便安全，抗感染能力强，对肩关节影响小，是 修复头颈部深度电烧伤创面的有效方法。 [关键词] 电击伤头颈部斜方肌肌皮瓣 [中图分类号] R622 [文献标识码] A [文章编号] 1673-0364(2015)06-0376-03 Inferior Trapezius Myocutaneo皿 FJap for Repairing High-Voltage Electrical Injury in Head and Neck Region XU 1 lin , YU Yong2, WU Zhuminj. 1 Department 01 Plωtic and Bum Surgery, Xinhua Hospit o1 Chongming Branch, Shanghai h幽暗 University School 01 Medicine , S.阳tgl缸i 20215α Chin何 2 Dep例阳nt 01 Bum and Plastic S.吨町， The Third People 主 Hospito1 01 Bengbu, Bengbu 233ω0， China. [Abstract] Objective To explore the application of inferior trapezius myocutaneous f1ap for repairing high -voltage electrical injury in head and neck region. Methods Since 2007 , 5 patients with high-voltage electrical injury in head and neck region were treated with inferior trapezius myocutaneous f1ap. Results All the inferior trapezius myocutaneous f1 aps were survived. The patients were followed up for 3-24 months , satisfactory appearance and functional recoveηwere achieved and no shoulder dysfunction was observed. Conclusion The inferior trapezius myocutaneous f1ap has the advantage of rich blood supply, simple operative procedure , powerful anti -infection ability and little effect on shoulder function , and is suitable for the repair of high-voltage electrical injurγin head and neck region. [Key words] Electrical injury; Head and neck region; Trapezius myocutaneous f1 ap 头颈部组织结掏复杂，电烧伤常导致深层结构