CAJ | 학술논문

　　目的探讨改良背阔肌皮瓣在胸壁缺损中的临床应用效果。方法选择近10年来我院接受胸部胸壁缺损治疗的患者30例，其中15例采用改良的改良背阔肌肌皮瓣进行治疗，另15例采用传统背阔肌（肌）皮瓣术进行治疗，分别以两组患者的并发症发生率、皮瓣存活率及活动舒适度作为临床评价指标，进行比较分析。结果观察组术后并发症发生率仅为6.6%，对照组为46.6%，观察组术后活动舒适度均明显优于对照组，P<0.05，两组患者的术后皮瓣存活率无显著性差别，P>0.05，具有统计学意义。结论改良的窄蒂背阔肌（肌）皮瓣修补术对于胸壁缺损的修补具有术后并发症率低、皮瓣存活率高及活动舒适等优点，值得进行临床推广应用。
　　목적탐토개량배활기피판재흉벽결손중적림상응용효과。방법선택근10년래아원접수흉부흉벽결손치료적환자30례，기중15례채용개량적개량배활기기피판진행치료，령15례채용전통배활기（기）피판술진행치료，분별이량조환자적병발증발생솔、피판존활솔급활동서괄도작위림상평개지표，진행비교분석。결과관찰조술후병발증발생솔부위6.6%，대조조위46.6%，관찰조술후활동서괄도균명현우우대조조，P<0.05，량조환자적술후피판존활솔무현저성차별，P>0.05，구유통계학의의。결론개량적착체배활기（기）피판수보술대우흉벽결손적수보구유술후병발증솔저、피판존활솔고급활동서괄등우점，치득진행림상추엄응용。
Objective To explore the effects of the improved latissimus dorsi flap (muscle) used in the chest wall defect. Methods Selected 30 cases who came to our hospital for chest wall defect treatment in the last 10 years were selected.15 cases who were used the improved latissimus dorsi flap (muscle), other 15 cases who were used the traditional latissimus dorsi flap (muscle).The incidence of complica-tions, flap survival and activity comfort were uesd as the clinical evaluation. Results The incidence of complications in the observation group was 6.6%,the control group was 46.6%,and the activity comfort of the observation group was obviously higher than the control group, P<0.05; There was no obvious dif-ference in the flap survival of the two groups, P>0.05. Conclusion The improved latissimus dorsi flap (muscle) can decrease the incidence of complications, and increase the flap survival and activity com-fort. It is worth for widely clinical application.