| 林智 温国贤.游离背阔肌皮瓣移植修复上肢恶性肿瘤术后组织缺损[J].实用中西医结合临床,2010,(1):8-9 |
| 游离背阔肌皮瓣移植修复上肢恶性肿瘤术后组织缺损 |
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| DOI： |
| 中文关键词: 背阔肌皮瓣 恶性肿瘤 组织缺损 修复 |
| 英文关键词: atissimus dorsi muscle-skin flaps malignant tumor raw surface repair |
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| 中文摘要: |
| 目的：探讨应用游离背阔肌皮瓣并辅助放疗、化疗修复上肢恶性肿瘤的治疗效果。方法：浅表肿瘤术前表面放疗剂量 3 000~7 000cGy/10~30次，伴骨转移则同时采用大剂量综合性化疗。应用游离背阔肌皮瓣一期修复组织缺损，术后放疗剂量 5 000~6 000cGy，并常规化疗。结果：皮瓣完全成活，术后缺损组织修复，5年生存率达86.7%，优良率达73.3%。结论：游离背阔肌皮瓣移植并辅助放疗、化疗修复上肢恶性肿瘤效果良好，提高了患者的生存质量。 |
| 英文摘要: |
| Objective:To study the effect of free latissimus dorsi muscle-skin flap repair the raw surface of malignant tumor cut on upper limbs.Method:Superficial malignant tumor were given radiotherapy 10~30 times with 3000~7000cGy, and large dose comprehensiveness chems must be given if osseous metastasis occurred. The raw surface of malignant tumor cut on lower limbs were repaired with free atissimus dorsi muscle-skin flap. After the operation, radiotherapy were given with 5000~6000cGy, and chems routly.Result:All the raw surface of malignant were repaired successfully, most of the patients were retained with labour ability and full self-care. Survival rate of five years was reached to 86.7%. According to the survival quality evaluation criterion,73.3% of patients were gained good effect.Conclusion:Free atissimus dorsi muscle-skin flap addied radiotherapy and chems could repair primary the raw surface of malignant tumor cut on lower limbs with good effect. |
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