带蒂背阔肌肌皮瓣早期修复颈部电烧伤深度创面

目的 探讨早期应用带蒂背阔肌肌皮瓣修复颈部深度电烧伤的临床效果。方法 自2010年5月至2015年11月,共收治5例颈部深度电烧伤患者。烧伤面积2%~20%。给予颈部早期清创后,应用带蒂的背阔肌肌皮瓣转移修复创面。结果 所移植皮瓣均成活良好,无坏死或溃疡,皮瓣质地、色泽好。术后随访6~24个月,颈部外形满意,活动无明显受限。结论 颈部深度电烧伤创面应早期清创后进行肌皮瓣转移术;背阔肌肌皮瓣血管恒定,血供丰富,供瓣面积大,转移灵活,是临床上修复颈部电烧伤深度创面的较好方法。

Ear ly Repair of Deep W ound w ith E lectric Burn of Neck by Ped icled Latissimus Dorsi M yocutaneous Flap

Ob jective To explore the clinical effect of pedicled latissimus dorsimyocutaneous flap in early repairing deep electric burn wound of neck.M ethods From May 2010 to November 2015,5 patients with deep electric burn wound of neck were treated.Burn area ranged from 2%to 20%.After the early stage of debridement,the pedicled latissimus dorsi myocutaneous flap was used to repair the wound in the neck.Results All the flaps survived well with good texture and color.No necrosis or ulceration was observed.After followed up for 6 months to 2 years,the satisfied neck shape was achieved without movement limitation.Conclusion The neck wound of deep electric injury should be given early debridement and myocutaneous flap transfer;Latissimus dorsi flap is one of the good choice in repairing deep electrical burn wound of neck with constant vascular,abundantblood supply,sufficient donor area and flexible transfer.