摘要
目的探讨儿童腹股沟区域瘢痕挛缩手术修复方式。方法收集2017年4月至2022年5月在甘肃省人民医院烧伤科进行手术治疗的腹股沟区域瘢痕挛缩12例患儿的临床资料,其中男4例,女8例;年龄范围为1~11岁,平均年龄为6.25岁。瘢痕生长周期3~12个月,均伴有髋关节屈伸功能及行走功能障碍,部分患儿同时出现会阴部畸形。分别采用旋髂浅动脉皮瓣、腹壁下动脉穿支皮瓣、跨区旋髂深动脉穿支皮瓣对瘢痕挛缩松解创面进行一期修复。结果术后患儿腹股沟区皮瓣均成活良好,髋关节功能障碍消除,会阴部畸形得到纠正,供瓣区一期缝合封闭。随访中未发现该区域再次出现瘢痕挛缩及功能障碍。结论旋髂浅动脉皮瓣、腹壁下动脉穿支皮瓣、跨区旋髂深动脉穿支皮瓣是对儿童腹股沟区瘢痕挛缩松解创面进行修复的较为理想方案,最大程度上减轻了供区损伤引发继发畸形的情况,最大程度上减轻对患儿生长发育的影响。
Objective To explore the surgical treatment and the optimal surgical repair of inguinal scar contracture in children.Methods From April 2017 to May 2022,the relevant clinical data were reviewed for 12 children operated for inguinal scar contracture.There were 4 boys and 8 girls with an average age of 6.25(1-11)year.Scar growth lasted from 3 to 12 months.All of them were accompanied by hip flexion,extension,walking dysfunction and perineal deformity.Superficial circumflex iliac artery,inferior epigastric artery perforator and trans-regional deep circumflex iliac artery perforator flaps were utilized for repairing scar contracture release wound in one stage.Results Groin flaps survived well,hip joint dysfunction disappeared,perineal deformity was corrected and donor flap area was closed by one-stage suture.No scar contracture and dysfunction were found in this area during follow-ups.Conclusions According to the location characteristics of scar tissue,flexible selection of the above three flaps is ideal for repair the wound of inguinal scar contracture release in children.The function of this area is restored well and the donor area may be directly sutured.Avoiding secondary deformity caused by the damage of donor area,it minimizes the physiological and psychological impact on the growth and development of children.
作者
刘军
王辉
王涛涛
Liu Jun;Wang Hui;Wang Taotao(Department of Burn,Gansu Provincial People's Hospital,Lanzhou 730000,China)
出处
《中华小儿外科杂志》
CSCD
北大核心
2023年第11期997-1001,共5页
Chinese Journal of Pediatric Surgery
关键词
瘢痕
腹股沟
手术治疗
儿童
Cicatrix
Groin
Surgical treatment
Child
