Tilkorn H, Voss W
Z Hautkr. 1982 Aug 1;57(15):1119-27.
Radioulcera of the trunk appear very often in combination with an osteonecrosis or osteomyelitis of the ribs or the sternum. The surgical procedures are very much restricted by the high radiation stress of tissue and the severe chronic infection. The treatment with the common flaps and skin grafts is very long lasting and disappointing because of the extremely difficult wound healing. The surgical therapy has been essentially improved by the myocutaneous flaps. In the last three years 52 patients with severe and big ulcera of the trunk were successfully treated with the myocutaneous flaps. This procedure proved to be very worthwhile.
躯干放射性溃疡常与肋骨或胸骨的骨坏死或骨髓炎合并出现。由于组织的高辐射应激和严重的慢性感染，手术操作受到很大限制。使用普通皮瓣和植皮进行治疗由于伤口愈合极其困难，疗程非常漫长且效果不佳。肌皮瓣的应用使手术治疗有了实质性的改进。在过去三年中，52例躯干严重大溃疡患者成功接受了肌皮瓣治疗。这一方法被证明非常值得。
