摘要
目的:探讨胸壁慢性放射性溃疡的分型对临床治疗的指导意义。方法:对于2001年～2010年我科收治胸壁慢性放射性溃疡患者58例,根据其病情轻重分为轻、中、重共三型,并根据类型不同分别采用保守手术、临近皮瓣转移修复及剔骨皮瓣修复等三种方法。结果:根据分型标准,轻型溃疡11例,采用保守手术治愈;皮瓣转移修复中型溃疡39例,其中4例皮瓣远端部分坏死,经清创植皮愈合;剔骨皮瓣修复重型溃疡8例,1例皮瓣感染,1例因坏死锁骨清创不彻底形成瘘道,行Ⅱ期手术后完全愈合。结论:根据胸壁慢性放射性溃疡的临床表现可分为三型,根据不同类型采用相应的手术方法。胸壁慢性放射性溃疡的分型对手术方法的选用具有明确的指导意义。
Objective To investigate the instructive significance of classifications of CRUCW on clinical therapy. Methods The total of 58 patients of CRUCW were treated in our department from 2001 to 2010 year. The cases were divided into the minor, the middle and the major three types according to the degree of patient＇s condition. And conservative operation, rotation of adjacent flaps and filleted flaps three methods were applied correspondingly. Results According to the Typing Index, 11 cases of the minor type were cured by conservative operations; 39 cases of the middle type were treated by adjacent flaps,4 cases with little necrosis on edge, cured by debridement and dermatoplasty; 8 cases of the major type were treated by filleted flaps, 1 case with flap infection and another one with fistulation caused by incompleted debridement for necrotic collarbone, both cured by succedent debridement. Conclusion According to its different clinical manifestations, CRUCW can be divided into three classifications. Surgical methods should vary with distinguished classifications. The new effective classification of CRUCW has definite instructive significance on the selection of surgical approaches.
出处
《中国美容医学》
CAS
2012年第12期2160-2162,共3页
Chinese Journal of Aesthetic Medicine
关键词
胸壁
放射性溃疡
肌皮瓣
剔骨皮瓣
分型
chest wall
radiation ulcer
myocutaneous flap
filleted flaps
classification
