摘要
目的探讨全厚皮片移植治疗与颈横动脉颈段皮支皮瓣修复对颈部瘢痕挛缩疗效影响。方法收集2005年1月至2014年12月本院烧伤整形外科收治的120例颈前区烧伤后颈部瘢痕挛缩临床资料,根据患者治疗方式分为全厚皮片移植治疗组(皮片移植组,n=60)及颈横动脉颈段皮支皮瓣修复组(皮瓣修复组,n=60)。对比分析两组患者皮瓣成活情况及两组治疗后患者颏颈角及颈部主动活动角的矫正度数。结果皮片移植组皮瓣成活率、组织瓣愈合良好率、颏颈角及唇颏沟形态满意率均低于皮瓣修复组(P<0.05)。皮片移植组术后前屈、后伸、左旋、右旋、左侧屈、右侧屈及颏颈角矫正度数均低于皮瓣修复组(P<0.05)。结论颈横动脉颈段皮支皮瓣修复颈部瘢痕挛缩可获得恒定血供及最大限度恢复颈部功能,移植后皮瓣成活率高,愈合良好,色泽、质地与颈部相近,且操作方便、易于取材,值得临床推广应用。
Objective To explore the clinical effects of full thickness skin graft and cervicothoracic flap pedicled with transverse cervical artery for cervical scar contracture patients. Methods The clinical data of120 cases of postburn neck anterior scar contracture in our hospital from January 2005 to December 2014 was retrospectively studied. The patients were divided into full thickness skin graft group（ skin graft group,n = 60） and cervicothoracic flap pedicled with transverse cervical artery repair group（ flap group,n = 60）. The flap survival rate and the active motion changes in neck and chin of the two groups were compared. Results The flap survival rate,good healing rate of tissue flap,satisfaction rates of mental cervical angle and labiomental groove of the skin graft group were lower than the flap group（ P〈 0. 05）. The correction angle of the flexion,extension,lefthanded,right-handed,left flexion and right flexion and cervicomental reconstruction in the skin graft group were all lower than the flap group（ P〈 0. 05）. Conclusion The cervicothoracic flap pedicled with transverse cervical artery repair for postburn neck anterior scar contracture patients can obtain constant blood supply,maximize the recovery of neck function and obtain high survival rate after transplantation with satisfactory color and texture.It is worthy of clinical application also because of easy operation and easy acquisition.
出处
《中国现代手术学杂志》
2016年第3期211-213,共3页
Chinese Journal of Modern Operative Surgery
关键词
外科皮瓣
瘢痕
颈部
surgical flaps
cicatrix
neck
