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目的:分析背阔肌肌皮瓣在肩背部软组织肉瘤扩大切除术后缺损修复中的方便性及优越性。方法:选取临床确诊肩背部软组织肉瘤患者8例,行肩背部病灶扩大切除术后,依据背阔肌肌皮瓣解剖学特点,选择合适的背阔肌肌皮瓣转移修复肩背部缺损。结果:皮瓣全部存活,随访6月至28月,肩背部外形满意,日常活动无明显影响。结论:应用背阔肌肌皮瓣修复肩背部软组织肉瘤扩大术后缺损是一种行之有效的方法。该方法简单易行,临床效果明显。
OBJECTIVE: To analyze the convenience and superiority of latissimus d’s myocutaneous flap in the repair of defect after enlarged resection of soft tissue sarcoma of shoulder and back. Methods: Eight patients with soft tissue sarcoma in the shoulder and back were enrolled in this study. After enlarged resection of the shoulder and back, according to the anatomical features of the latissimus dorsi muscle flap, we selected the appropriate latissimus dorsi myocutaneous flap to repair the shoulder and back defect. Results: All the flaps survived. The follow-up was from June to 28 months. The shape of shoulders and back was satisfactory and no significant effect on daily activities. Conclusion: It is an effective method to repair the soft tissue sarcoma of the shoulder and back with the latissimus dorsi myocutaneous flap. The method is simple and easy, the clinical effect is obvious.