Objective To explore the methods of clinical therapy on radiation ulcer of the neck of the body. Methods According to the difference of injured degree, using tautomeral delto -pectoral shin flap or pectoralis major myocutaneous flap to repair the defect of neck respectively after removing the tissue of radiationg ulcer of the neck thoroughly or palliatively, and using full-thickness skin graft to repair donor site. Results The 11 cases of delto -pectoral shin flap and the 3 cases of pectoralis major myocutaneous flap were all survived successfully, and were healed well with the wound surface of neck. The quality of lives of patients were improved obviously after the operation. Conclusion The tautomeral delto-pectoral shin flap and the pectoralis major myocutaneous flap are effective,simple and safe reconstructive option for radiation damage of the neck of the body.%目的:探讨颈部放射性溃疡的手术方法.方法:彻底或姑息性切除颈部放射性溃疡组织后,根据颈部组织损伤程度的不同,分别用同侧胸三角皮瓣或胸大肌肌皮瓣进行颈部缺损的修复,供区使用全厚皮片修复.结果:11例胸三角皮瓣、3例胸大肌肌皮瓣全部成活,愈合良好,术后患者生活质量明显改善.结论:胸三角皮瓣与胸大肌肌皮瓣血运可靠,是修复颈部放射性溃疡的有效、简单和安全的方法.
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