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[整形外科中放射性坏死的覆盖。关于一组20例病例]

[The covering of radionecrosis in plastic surgery. Apropos of a series of 20 cases].

作者信息

Rodier-Bruant C, Wilk A, Benyacoub N, Meyer C, Herman D

机构信息

Service de Stomatologie, Hôpitaux Universitaires, Hôpital Civil, Strasbourg.

出版信息

J Chir (Paris). 1994 Apr;131(4):172-83.

PMID:8083307
Abstract

Twenty radionecroses with various locations were operated on between 1982 and 1993 in the Plastic Surgery Department at Strasbourg. Flap covers were performed. The results and indications as a function of localization and of the size and quality of the structures involved was analyzed for these radio-induced lesions. A wide range of therapeutic option are available to the plastic surgeon who must chose the most reliable reconstruction technique after the most extensive exeresis possible. Muscle and pediculated musculo-cutaneous flaps are preferred due to their safety, their vascular, trophic and anti-infectious quality and their excellent capacity of coverage.

摘要

1982年至1993年间,斯特拉斯堡整形外科对20例不同部位的放射性坏死患者进行了手术,采用皮瓣覆盖。对这些放射性损伤,根据损伤部位、所累及结构的大小和质量,分析了其结果和适应症。整形外科医生有多种治疗选择,在尽可能广泛切除后,必须选择最可靠的重建技术。肌肉瓣和带蒂肌皮瓣因其安全性、血管供应、营养和抗感染特性以及出色的覆盖能力而成为首选。

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