预置皮瓣扩张延迟修复颈部挛缩瘢痕

目的:探讨预置皮瓣扩张延迟修复颈部挛缩瘢痕的临床效果.方法:2005年1月～2007年2月应用预置皮瓣扩张延迟修复颈部挛缩瘢痕8例.结果:预置皮瓣扩张延迟修复颈部挛缩瘢痕5例,预置皮瓣扩张延迟修复加植皮3例,术后均随访1年以上,优6例,良1例,进步1例.结论:能充分利用大面积烧伤病人非常有限的皮源,为尽可能修复颈部挛缩瘢痕找到了一条途径;分期手术解决了病人耐受问题和术中输血的难题;不易损伤血管和神经,易于操作,皮瓣成活率高,修复效果满意.

Deferred restoration of contracted cicatrices of neck by replacing dilated skin flap

Objective:To investigate the clinical effect of deferred restoration of contracted cicatrices of neck by preplacing skin flap.Methods:8 cases of deferred restoration of contracted cicatrices in neck were performed by preplacing dilated skin flap from January 2005 to February 2007. Results:Of 8 patients,5 were adapted with foregoing operative method, and the rest with foregoing method plus skin grafting. All the cases were followed up for 1 year or more after aperation,6 cases were excellent,1 good and 1improvement. Conclusion:To find a way to restore the contracted cicatrices of neck as possibly as we can. limited resource of skin for patients with burns, especially patients with large acreage should be used sufficiently. Staging operation could solve the dificult problems of tolerance and blood transfusion.It has characteristics of impossible injuries of blood vessel and nerve,easy operation,high survival rate of skin flap and satisfaction of restoration effect.