关键词: 放射性溃疡, 皮瓣, 移植

Abstract: 【Abstract】〓Objective〓To investigate the method to repair severe radiation-induced ulceration and evaluate its clinical effects. Methods〓Twenty-two cases with severe radiation-induced ulceration treated by flaps or musculocutaneous flaps transfer in our hospital from Jan 2010 to Jan 2012 were respectively analyzed. Of 22 case, 4 cases were treated by latissimus dorsa flaps, 3 cases by lateral abdominal flap, 3 cases by paraumbilical flap, 4 cases by anterolateral femoral flaps ,6 cases by pectoralis majorflap, 2 cases by gluteus maximus muscle flap. Results〓20 cases flaps survived with primary healing, 2 cases flap with partial distal necrosis. The colour and texture of the flaps were excellent,and the outline and functional results were satisfactory after 1 to 2 years follow-up..There was no ulcer recurrence. Conclusion〓The efficacy of cervical radiation induced ulceration by flaps and musculocutaneous flaps was proved. The reconstruction could prevent the recurrence of ulcer.

Key words: Radiation ulcer, Skin flap, Implantation