CAJ | 학술논문

目的观察锁骨上岛状皮瓣修复颈部深度烧伤创面的治疗效果.方法选择笔者单位2009年1月-2011年6月收治的颈部深度烧伤患者6例,烧伤总面积为6％～ 22％,其中Ⅲ度为3％～22％TBSA;颈部创面面积为12 cm ×5 cm～15 cm ×8 cm,均为Ⅲ度,其中1例为肉芽创面.颈部创面行清创、切除焦痂或肉芽组织后,设计并切取与创面面积等同的锁骨上岛状皮瓣封闭创面.4例供区直接缝合,2例供区游离植皮.观察术后皮瓣成活及供区愈合情况,随访颈部术区外观及功能恢复情况.结果 6例患者术后皮瓣完全成活,供区愈合良好.随访6～12个月,皮瓣外观良好并伴有感觉,颈部可正常后仰.仅皮瓣边缘及供区出现线状瘢痕,但不影响患者整体外形及功能.结论应用锁骨上岛状皮瓣治疗颈部深度烧伤创面,颈部外形和功能恢复良好,不失为一种较佳术式.
목적 관찰쇄골상도상피판수복경부심도소상창면적치료효과.방법 선택필자단위2009년1월-2011년6월수치적경부심도소상환자6례,소상총면적위6％～ 22％,기중Ⅲ도위3％～22％TBSA;경부창면면적위12 cm ×5 cm～15 cm ×8 cm,균위Ⅲ도,기중1례위육아창면.경부창면행청창、절제초가혹육아조직후,설계병절취여창면면적등동적쇄골상도상피판봉폐창면.4례공구직접봉합,2례공구유리식피.관찰술후피판성활급공구유합정황,수방경부술구외관급공능회복정황.결과 6례환자술후피판완전성활,공구유합량호.수방6～12개월,피판외관량호병반유감각,경부가정상후앙.부피판변연급공구출현선상반흔,단불영향환자정체외형급공능.결론 응용쇄골상도상피판치료경부심도소상창면,경부외형화공능회복량호,불실위일충교가술식.
Objective To observe the therapeutic effect of supraclavicular island flap in repairing deep burn wound of neck. Methods Six patients with deep burn of neck hospitalized from January 2009 to June 2011 were enrolled in the study. Their total burn area ranged from 6％ to 22％ TBSA,of which full-thickness area ranged from 3％ to 22％ TBSA.The neck wound ranged fron 12 cm ×5 cm to 15 cm ×8 cm in area,and they were all full-thickness in depth.One of the neck wounds was covered with granulation tissue.Patients underwent either debridement and escharectomy or excision of granulation tissue for the neck wound,and they were covered with supraclavicular island flap designed with the size corresponding to that of wound area.Four donor sites were sutured directly.The other two donor sites were covered with free skin graft.Survival of flaps and healing of donor sites were observed.The appearance and function recovery of operative regions were followed up. Results Supraclavicular island flaps of 6 patients survived as a whole.All the donor sites healed well. Flaps with satisfactory appearance and feeling sensation,accompanied by unlimited extension of neck were observed in the follow-up duration from 6 to 12 months.Scars observed in the flap edge and the donor sites were linear,and they did not affect the overall appearance and function of patients. Conclusions Supraclavicular island flap is a good choice for repairing deep burn wound of neck,and it gives a good shape and function recovery of the neck.