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目的 探讨儿童肢体瘢痕挛缩畸形的理想的治疗方法。方法 应用旋肩胛皮瓣 ,背阔肌肌皮瓣 ,股前外侧皮瓣 ,腹股沟皮瓣单独或联合移植修复腋窝、肘关节、膝关节的严重瘢痕挛缩畸形 9例 ,患者年龄 1岁到 15岁 ,皮瓣面积 6cm× 9cm～ 11cm× 2 0cm。结果 除 2例皮瓣远端静脉回流障碍坏死外 ,其余全部成活 ,关节功能改善满意 ,供区无明显并发症。结论 皮瓣修复是治疗儿童关节部位严重瘢痕挛缩畸形的首选方法。常规皮瓣的灵活设计可取得良好效果。
Objective To investigate the ideal treatment for children with limb deformity and scar contracture. Methods Nine cases of severe scar contracture of armpits, elbow joint and knee joint were repaired by rotation of the scapular flaps, latissimus dorsi flap, anterolateral anterolateral flap and groin flap either alone or in combination. The patients were aged from 1 to 15 years old , Flap area 6cm × 9cm ~ 11cm × 20cm. Results In addition to 2 cases of distal venous drainage flap necrosis, the remaining all survived, improved joint function satisfaction, no significant complications for the area. Conclusion Skin flap repair is the preferred method for the treatment of severe scar contracture in children with joints. The flexible design of conventional flaps can achieve good results.