摘要
目的探讨低位背阔肌肌皮瓣在肩背部和上肢软组织深度缺损修复中的应用效果。方法自2017年12月至2021年6月,共10例患者纳入研究。创面位于肩部(3例)、背部(5例)和上肢(2例)。创面均采用低位背阔肌肌皮瓣修复,肌皮瓣位于背阔肌外下缘。供瓣区直接拉拢缝合或植皮修复。结果8例皮瓣完全存活,2例局部坏死。供瓣区切口愈合好,移植皮片存活。随访观察,8例患者皮瓣受区外观满意,2例欠佳。术后肩关节功能不影响日常生活。结论低位背阔肌肌皮瓣修复肩背部和上肢等较远距离的软组织深度缺损效果满意,术后患者能基本保留背阔肌功能,是值得推荐的方法。
Objective To explore the clinical application of low skin paddle pedicled latissimus dorsi myocutaneous flap in repairing deep soft tissue defects of the shoulder,back or upper limb.Methods From Dec.2017 to Jun.2021,10 patients were enrolled.The defects were located in the shoulder(n=3),back(n=5)and upper limb(n=2),and were all repaired by the low skin paddle pedicled latissimus dorsi myocutaneous flap.The myocutaneous flaps were harvested at the outer-lower margin of latissimus dorsi muscle.The donor sites were sutured directly or repaired by skin graft.Results Eight flaps survived completely,two had partial necrosis.The donor flap incision healed well and the graft skin survived.Follow-up observation showed that the appearance of skin flap area was satisfactory in 8 cases and poor in 2 cases.Postoperative shoulder function did not affect daily life.Conclusion Low skin paddle pedicled latissimus dorsi myocutaneous flap can achieve satisfactory outcome for repairing the deep soft tissue defect in the shoulder,back or upper limb.It can preserve most of the function of shoulder and is worth of recommendation.
作者
余明薇
王慜
王倩
袁斯明
YU Mingwei;WANG Min;WANG Qian;YUAN Siming(Department of Plastic Surgery,Jinling Hospital,Nanjing Medical University,Nanjing 210002,China.)
出处
《组织工程与重建外科》
CAS
2022年第2期111-114,共4页
Journal of Tissue Engineering and Reconstructive Surgery
基金
国家自然科学基金(81272989)。
关键词
低位背阔肌肌皮瓣
软组织缺损
肩部
背部
上肢
Low skin paddle pedicled latissimus dorsi myocutaneous flap
Soft tissue defect
Shoulder
Back
Upper limb
