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目的总结前胸壁慢性放射性溃疡的临床治疗效果。方法应用肌皮瓣修复前胸壁慢性放射性溃疡22例,手术扩创后用背阔肌肌皮瓣修复15例,胸大肌肌皮瓣修复2例,腹直肌肌皮瓣修复5例。结果移植肌皮瓣全部成活痊愈。溃疡甲级愈合19例、乙级愈合3例。术后随访6个月～3年溃疡无复发,供区无异常。结论应用带血运的肌皮瓣转移修复创面解决了前胸壁区因根治手术或放射所致的血管损伤而引起的创面难愈合问题,能有效改善血液循环,促进创面愈合。
Objective To summarize the clinical effect of anterior chest wall chronic radiation ulcer. Methods Twenty-two cases of chronic radiation-induced ulceration of anterior chest wall were repaired with myocutaneous flaps. Fifteen cases were repaired with latissimus dorsi myocutaneous flaps after operation. Five cases were repaired with pectoralis major myocutaneous flap and two with rectus abdominis myocutaneous flap. Results All myocutaneous flap survived. 19 cases of ulcer healing, 3 cases of B healing. All the patients were followed up for 6 months to 3 years without recurrence of ulcer. Conclusion The application of blood vessel muscle flap to repair the wounds solves the difficult wound healing caused by radical surgery or radiation-induced vascular injury in the anterior thoracic wall, which can effectively improve blood circulation and promote wound healing.