摘要目的:针对面颈部烧伤常累及前胸无法运用局部皮瓣转移术,而另作选择修复创面。方法:依胸三角区解剖特点结合临床经验,采用胸廓内动脉第二、三前穿支岛状瓣转移结合瓣下滴注bFGF进行修复治疗21例。结果:18例全部成活,面颈部修复效果良好,2例部分坏死,1例全部坏死。结论:采用胸廓内动脉前穿支岛状瓣修复面颈部创伤,减少了前胸部瘢痕对皮瓣选择的限制;bFGF促进血管新生,改善创面微循环,提高了皮瓣成活率。

    关键词 岛状皮瓣 瘢痕 胸廓内动脉

    PERFORANCE BRANCHES OF INTERNAL THORACIC ARTERY ISLAND SKIN FLAP IN REPAIRING

    CERVICOFICIAL DEFECTS

    Sun Yaowe Chen Qinji Zhang Zhenxin et al.

    Department of Burns and Plastic surgery, Shaan xi Provincial Peoples Hospital(Xian710068)

    Abstract Objective: To construct rational operative method to repair the defect after scar ectorry in situation cevicofacial burn with chest scar encumbring flaps selection. Method: Acording to deltopectoral anatomy and medical experiment. We applied the 2nd and 3rdperforance branches of internal thoracic artery island skin flap translation and administered bFGF beneath flap to treat 21 patients with cervicoface and chest burned. Result: Of the 21 flaps, 18 completely survived and effect fine, 2 necrosed partially and 1 died totally. Conclusion: Perforance branches of internal thoracic artery island skin flap to repair cervicofacial defects, reduce the limitation of flaps selection being of chest scar; bFGF can advance vascullar regeneration, improve microcirculation, develop flaps survival rate. ......