背阔肌皮瓣胸大肌皮瓣联合修复肩部大面积皮肤软组织缺损.docVIP

精品论文 参考文献 背阔肌皮瓣胸大肌皮瓣联合修复肩部大面积皮肤软组织缺损 王汉荣 刘进炼 周青 陆黎明 凡桂勇 (上海交通大学医学院苏州九龙医院 215021) 【摘要】目的 报告背阔肌皮瓣联合胸大肌皮瓣修复肩部大面积皮肤软组织缺损的临床应用效果。方法 2008年1月至2012年12月,采用背阔肌皮瓣和胸大肌皮瓣移位后瓦合修复肩部大面积皮肤软组织缺损3例,供区采用直接缝合和(或)全厚皮植皮覆盖。结果 术后3例皮瓣均成活，伤口Ⅰ期愈合，术后随访3个月～4年，肩关节功能均达正常，外形及功能均满意。结论 背阔肌皮瓣与胸大肌皮瓣联合转移瓦合覆盖创面是一种修复肩部大面积皮肤软组织缺损的理想方法。 【关键词】 胸大肌皮瓣 背阔肌皮瓣 软组织缺损 肩部 【中图分类号】R622 【文献标识码】A 【文章编号】2095-1752（2013）15-0109-02 Repair of large area skin and soft tissue defects of the shoulder with Latissimus dorsi muscle flap and pectoralis major myocutaneous flap combined WANG Han-rong ，LIU Jin-lian ，ZHOU Qing ，LU Li-ming ，FAN Gui-Yong. Shanghai Jiaotong University School of medicine Suzhou Kowloon Hospital ，Suzhou 215021，China 【Abstract】 Objective To report the latissimus dorsi flap combined with pectoralis major myocutaneous flap in the repair of large area skin and soft tissue defects of the shoulder clinical application effect. Methods From January 2008 to December 2012, using a latissimus dorsi muscle flap and pectoralis major muscle flap displacement after tile repair shoulder large area skin and soft tissue defect in 3 cases, the donor area using direct suture and ( or ) full thickness skin graft coverage. Results 3 cases of postoperative flap survived the wound healed after a follow-up of 3 months to 4 years, shoulder joint function was normal, appearance and function were satisfactory. Conclusion Latissimus dorsi muscle flap and pectoralis major muscle flap combined with transfer tile for covering the wound repair of the shoulder is a kind of large area skin and soft tissue defect of the ideal method. 【Key words】 Pectoralis major flap Latissimus dorsi flap Soft tissue defect Shoulder 肩部大面积皮肤软组织缺损临床并非多见，单一皮瓣修复往往较困难，然而，能否一期修复肩部的皮肤软组织缺损对保存其外形功能至关重要。我院自2008年1月至2012年12月对3例肩部大面积皮肤软组织缺损患者采用背阔肌皮瓣胸大肌皮瓣瓦合修复，效果满意，现报道如下： 1.资料与方法 1.1 一般资料 本组3例，男2例，女1例；年龄20～44岁，平均32岁。致伤原因：交通伤2例，机器绞伤1例。均为肩部创伤后的大面积皮肤软组织缺损，缺损面积分别为15cm