摘要
目的探索以胸大肌肌皮瓣及中厚皮片联合修复颈部咽瘘的方法。方法对因头颈部恶性肿瘤术后与放疗后形成颈部的咽瘘，应用胸大肌肌皮瓣与中厚皮片联合修复咽食管黏膜及颈部皮肤缺损。结果本组11例皮瓣术后全部存活，术后5d去除中厚皮片之缝线包扎敷料，术后12—14d拆线，其中2例皮瓣边缘部分愈合不良，经换药后愈合。术后随访全部皮瓣及中厚皮片存活良好，患者吞咽功能恢复，外形良好。结论胸大肌肌皮瓣与中厚皮片联合用于颈部咽瘘的修复可获得良好的临床效果。
Objective To explore the method that use combined pectoralis major muscle flap and intermediate split thickness skin graft to reconstruct giant cervical pharyngeal fistula. Methods Use pectoralis major muscle flap combined with intermediate split thickness skin graft to reconstruct giant cervical pharyngeal fistula caused by malignant tumor surgical treatment and radiotherapy. Results In this group, 11 flaps survived after operation, while 2 of them got delayed union after proper treatment. The following -up showed good function and shape, all the flaps remain alive . The patients＇ swallowing function were recovered and got good contours. Conclusions Pectoralis major muscle flap has enough volume and vascular pedicle length . Intermediate split thickness skin is easy to survive and has stable colour. Through this combined reconstructive methods, we got good clinical results to treat giant cervical pharyngeal fistula.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2007年第1期10-12,共3页
Chinese Journal of Plastic Surgery
关键词
咽瘘
胸大肌肌皮瓣
中厚皮片
Pharyngeal fistula
Pectoralis major muscle flap
Intermediate split thickness skin graft
