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1.临沂市人民医院烧伤整形二科,山东 临沂276000
2.山东省立第三医院创伤与手足外科,山东 济南 250031
3.山东省公共卫生临床中心蟠龙山院区整形修复外科,山东 济南250101
渠开攀,E-mail:qukaipan2022@163.com
收稿日期:2024-11-17,
纸质出版日期:2025-09-25
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赵锋,渠开攀,李美佳等.颈横动脉相关皮瓣修复肩颈部创面的效果[J].局解手术学杂志,2025,34(09):832-835.
ZHAO Feng,QU Kai-pan,LI Mei-jia,et al.Effects of transverse cervical artery related skin flaps in repairing neck and shoulder wounds[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(09):832-835.
赵锋,渠开攀,李美佳等.颈横动脉相关皮瓣修复肩颈部创面的效果[J].局解手术学杂志,2025,34(09):832-835. DOI: 10.11659/jjssx.11E024086.
ZHAO Feng,QU Kai-pan,LI Mei-jia,et al.Effects of transverse cervical artery related skin flaps in repairing neck and shoulder wounds[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(09):832-835. DOI: 10.11659/jjssx.11E024086.
目的
2
探讨颈横动脉相关皮瓣修复肩颈部皮肤软组织缺损的效果。
方法
2
选取2018年1月至2022年1月临沂市人民医院收治的肩颈部软组织缺损患者13例,均采用颈横动脉相关的皮瓣修复创面,供区采用直接拉拢缝合和/或腹股沟区全厚皮片移植修复。记录皮瓣术后成活情况、外观和质地。观察供区创面愈合及移植皮片存活情况。术后随访5~12月,观察移植后的皮瓣外形情况及术区功能恢复情况。
结果
2
术后皮瓣均一期成活良好,皮瓣色泽和质地与周围组织匹配良好,供区愈合创面良好。随访期间,患者肩颈部功能及外观恢复良好。
结论
2
颈横动脉相关皮瓣修复肩颈部皮肤软组织缺损具有肤色和质地相近、血运可靠等优点,且患者外观及术后功能恢复良好,值得在临床工作中推广应用。
Objective
2
To explore the effects of transverse cervical artery related skin flaps in repairing skin soft tissue defects in the neck and shoulder.
Methods
2
A total of 13 patients with soft tissue defects in neck and shoulder admitted to Linyi People's Hospital from January 2018 to January 2022 were selected. The wounds of patients were repaired with transverse cervical artery related skin flaps, and the donor area was repaired with direct suturing and/or full-thick skin graft from the inguinal area. The survival, appearance and texture of the flap after surgery were recorded. The wound healing in the donor area and the survival of the grafted skin were observed. The follow-up was conducted for 5 to 12 months, and the appearance of the grafted flap and the recovery of function in the surgical area were observed.
Results
2
The flaps had good survival in the first stage after surgery, the color and texture of the flap matched well with the surrounding tissue, and the wound healing in the donor area was good. During the follow-up, the function and appearance of neck and shoulder for patients recovered well.
Conclusion
2
The advantages of transverse cervical artery related skin flaps in repairing skin soft tissue defects in the neck and shoulder is that the color and texture of the flap matched well with the surrounding tissue, with reliable blood circulation, and the appearance and postoperative function recover well, which is worthy of promotion and application in clinic.
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