【摘要】 目的:探讨获得较大面积的颈肩轴型皮瓣的可行性,为烧伤后大面积颈胸部瘢痕挛缩畸形提供理想的修复材料。方法:应用软组织扩张技术增加皮瓣的有效面积,设计以颈横动脉及其分支供血的对侧颈肩皮瓣修复颈胸部瘢痕挛缩。结果:临床应用8例,7例皮瓣完全成活。其中1例因超长扩张皮瓣远端出现血运障碍而效果欠佳。结论:由于颈肩背部血供的交叉性及丰富的吻合支存在,即使皮瓣的面积增大并逆主轴血管方向使用,仍能成活良好。更多还原

【Abstract】 Objective:To detect the feasibility of acquiring the extensire neck -shoulder axia l flap to supply the treatment of neck-chest cicatrical contraction deformity after burns with an ideal repair ing material.Methods:The neck -chest cicatrical contraction de-formity was repaired by the contrala teral neck -shoulder flap with bood s upplying of transverse neck artery a nd its branches after the effective area of the flap was increa sed by soft tissue dilatation.Results:Eight patients in clinic were operated with this way,and the flaps in seven patients have all survived.But blood supplying distuebance appeared in one of eight flaps in patient s after the far -end of it was ultralong dilatated.Conclusions:Although the area increasing and the use against the axial blood vessels d irection were applied in the flaps,they also survived because of the blood supply crossing and abundant anastomotic branches of the neck -shoulder blood vessels.[更多还原