背阔肌肌皮瓣修复肩背部软组织肉瘤术后缺损.pdfVIP

884 · · 现代生物医学进展 Progress in Modern Biomedicine Vol.11 NO.5 MAR.2011 背阔肌肌皮瓣修复肩背部软组织肉瘤术后缺损研究 刘剑帆 黄 钢 徐学政 李林 罗 毅 (湖南省肿瘤医院骨、软组织肿瘤科湖南长沙410013) 摘要目的：分析背阔肌肌皮瓣在肩背部软组织肉瘤扩大切除术后缺损修复中的方便性及优越性。方法：选取临床确诊肩背部软组 8 织肉瘤患者 例，行肩背部病灶扩大切除术后，依据背阔肌肌皮瓣解剖学特点，选择合适的背阔肌肌皮瓣转移修复肩背部缺损。 6 28 结果：皮瓣全部存活，随访 月至 月，肩背部外形满意，日常活动无明显影响。结论：应用背阔肌肌皮瓣修复肩背部软组织肉瘤 扩大术后缺损是一种行之有效的方法。该方法简单易行，临床效果明显。 关键词：肩背部；软组织肉瘤；背阔肌肌皮瓣 R739.9 A 1673-6273 2011 05-884-03 中图分类号： 文献标识码： 文章编号： （ ） Effect of latissimus dorsi myocutaneous flap in repair of defect after resection of shoulder and back soft tissue sarcoma LIU Jian -fan , HUANG Gang , XU Xue-zheng , LI Lin -qing, LUO Yi. (Dep artment of Bone and Soft Tissue ,Hunan Province Tumor Hosp ital , Changsha ,Hunan,4 100 13,China) ABSTRACT Obj ective: To analyze the convenience and superiority of applying latissimus dorsi myocutaneous flap to repair the shoulder and back defect after the expanded resection of soft tissue sarcoma. Methods: Select eight patients diagnosed with shoulder and back soft tissue sarcoma. After expanded resection of the focus, transfer proper latissimus dorsi myocutaneous flap to repair the shoulder and back defect based on the anatomy. Results: All the flaps survived. The follow-up visit of the patients within the following 6 to 25 months indicates that the patients are satisfied with their shoulder and back outline, and feels no apparent influence to their daily activities. Conclusions: Applying latissimus dorsi myocutaneous flap to repair the defect after the resection of shoulder and back soft tissue sarcoma is effective. This method has been proved easy and apparent in clinical effect. Key words: Shoulder and back ; Soft tissue sarcoma ; Latissimus dorsi myocutaneous