CAJ | 학술논문

目的：使用皮瓣或肌皮瓣对严重放射性溃疡进行修复的临床经验。方法对我科在2010年1月至2012年1月，采用各种皮瓣或肌皮瓣方法修复治疗的22例放射溃疡患者病例进行回顾性分析，其中使用背阔肌皮瓣4例，侧腹壁皮瓣3例，脐旁皮瓣3例，股前外侧皮瓣4例，胸大肌皮瓣6例，臀大肌皮瓣2例。结果22例患者中有2例出现了皮瓣远端局部坏死，经换药治疗后创面闭合。其他20例皮瓣全部成活，伤口一期愈合。经1～2年随访，15例患者皮瓣外观良好，质地柔软，临床溃疡无复发。结论临床采用皮瓣或者肌皮瓣治疗严重放射性溃疡，能够获得良好治疗效果，并能有效预防溃疡复发，值得推广。
목적：사용피판혹기피판대엄중방사성궤양진행수복적림상경험。방법대아과재2010년1월지2012년1월，채용각충피판혹기피판방법수복치료적22례방사궤양환자병례진행회고성분석，기중사용배활기피판4례，측복벽피판3례，제방피판3례，고전외측피판4례，흉대기피판6례，둔대기피판2례。결과22례환자중유2례출현료피판원단국부배사，경환약치료후창면폐합。기타20례피판전부성활，상구일기유합。경1～2년수방，15례환자피판외관량호，질지유연，림상궤양무복발。결론림상채용피판혹자기피판치료엄중방사성궤양，능구획득량호치료효과，병능유효예방궤양복발，치득추엄。
Objective To investigate the method to repair severe radiation-induced ulceration and evaluate its clinical effects. Methods Twenty-two cases with severe radiation-induced ulceration treated by flaps or musculocutaneous flaps transfer in our hospital from Jan 2010 to Jan 2012 were respectively analyzed. Of 22 case, 4 cases were treated by latissimus dorsa flaps, 3 cases by lateral abdominal flap, 3 cases by paraumbilical flap, 4 cases by anterolateral femoral flaps ,6 cases by pectoralis majorflap, 2 cases by gluteus maximus muscle flap. Results 20 cases flaps survived with primary healing, 2 cases flap with partial distal necrosis. The colour and texture of the flaps were excellent,and the outline and functional results were satisfactory after 1 to 2 years follow-up. .There was no ulcer recurrence. Conclusion The efficacy of cervical radiation induced ulceration by flaps and musculocutaneous flaps was proved. The reconstruction could prevent the recurrence of ulcer.