岛状肌皮瓣(肌瓣)在颈胸部重度创伤性创面早期修复中的应用

目的 介绍岛状肌皮瓣（肌瓣）在早期修复颈胸部重度创伤性创面中的应用体会。方法 根据45例患者创面所在具体部位、创面的性质及致伤因素的不同而选择不同的岛状肌皮瓣，共使用岛状胸大肌肌皮瓣8例，岛状背阔肌肌皮瓣28例，岛状斜方肌肌皮瓣9例。结果 45例患者创面完全愈合，均获得满意的功能和外形效果，无严重并发症发生。结论 根据创面的具体情况选择适当的岛状肌皮瓣，早期修复颈胸部重度创伤性创面可获得满意的功能和外形效果。

Application of island myocutaneous flap in early repair of severe traumatic cervico-thoracic wound

Objective To introduce our experiences in applying island myocutaneous flap in treating severe traumatic cervico-thoracic wound. Methods Variant island myocutaneous flaps were selected according to location, peculiarity and injury cause. Pectoralis major island myocutaneous flap was used in eight cases, latissimus dorsi island myocutaneous flap in 28 and trapizius island myocutaneous flap in nine. Results All cases obtained wound healing and good functional and cosmetic results, without severe complication. Conclusion Suitable island myocutaneous flap for severity traumatic cervico-thoracic wound according to specific condition of wound may obtain satisfactory functional and cosmetic results.