Cervical chronic radiation ulceration reconstruction with flap after radiotherapy for nasopharyngeal carcinoma
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摘要: 目的:探讨应用皮瓣或肌皮瓣修复鼻咽癌放疗后颈部慢性放射性溃疡的疗效。方法:应用胸三角皮瓣和胸大肌皮瓣修复19例颈部不同大小、深浅的慢性放射性溃疡患者。结果:19例患者中12例胸三角皮瓣和7例胸大肌皮瓣全部存活,1例胸三角皮瓣因远端伤口愈合不良,经过清创、换药后伤口Ⅱ期愈合。随访1~10年,皮瓣和肌皮瓣存活良好,无皮肤溃疡的再次发生。结论:应用胸三角皮瓣和胸大肌皮瓣修复颈部慢性放射性溃疡疗效满意,可有效预防溃疡复发。慢性放射性溃疡保守治疗效果差,因此预防其发生更为重要。Abstract: Objective: To evaluate the application of flaps or musculocutaneous flaps in repairing cervical postradiation ulcer (cpu) at nasopharyngeal carcinoma Method: Deltopectoral flaps and pectoralis major flaps were applied to repair cervical radiation ulceration with different size and depth in 19 cases.Result: Twelve cases repaired with deltopectoral flaps and 7 cases repaired with pectoralis major flaps, impaired wound healing happened at distal end of one deltopectoral flap, and the wound was healing by second intention after debridement and dressing change.All the other deltopectoral flaps and pectoralis major flaps stayed alive. Flaps stayed alive without the recurrence of ulcer after the long-term follow-up for one to ten years.Conclusion: The effectiveness of cervical radiation ulceration reconstruction by deltopectoral flaps and pectoralis major flaps was proved. The reconstruction could prevent the recurrence of ulcer. Refer to the poor prognosis of chronic radiation ulceration with expectant treatment, precautions do count.
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Key words:
- radiation ulceration /
- surgical flap /
- transplant /
- nasopharyngeal carcinoma
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[1] 李顺堂,刘达恩. 慢性放射性皮肤溃疡形成及难愈机制的研究进展[J]. 广西医学,2012,41(4):474-477.
[2] 颜玲,高建华,罗锦辉,等. 颈部放射性溃疡的特点及修复[J]. 中国修复重建外科杂志,1997,11(1):60-60.
[3] 梁杰,郝新光,罗少军. 颈部放射性溃疡的治疗[J]. 中国现代医学杂志,2007,17(13):1652-1653.
[4] 彭解人,宋新汉,黄晓明,等. 胸大肌肌皮瓣修复鼻咽癌放疗后颈部皮肤溃疡[J]. 中山大学学报(医学科学版),2003,24(4):386-388.
[5] 吴涛,林文,颜月娥,等. 鼻咽癌颈部放射性溃疡的治疗[J]. 右江民族医学院学报,2004,26(6):847-848.
[6] 付玉贵,彭解人,黄晓明,等. 胸大肌肌皮瓣在鼻咽癌放疗后颈部挽救性手术中的应用[J]. 中国耳鼻咽喉颅底外科杂志,2006,12(4):265-267.
[7] 王继华,杨云,朱礼昆,等. 扩张后胸三角皮瓣修复面颈部较大面积皮肤软组织缺损[J]. 中国美容医学,2011,20(1):6-8.
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