杨志祥,赵坡,王方薪,王德文,杨文峰.局部重度放射性溃疡的治疗[J].中华放射医学与防护杂志,1996,16(4):225-227
局部重度放射性溃疡的治疗
Clinical treatment of local severe radiation-induced ulcers
投稿时间:1995-03-10  修订日期:1995-01-25
DOI:
中文关键词:  放射性溃疡  姑息性清创术  外科皮瓣
英文关键词:Radiation  ulcer palliative  debridement  surgical flap
基金项目:国家自然科学基金
作者单位
杨志祥 100039 北京北太平路医院 
赵坡 北京放射医学研究所 
王方薪 100039 北京北太平路医院 
王德文 北京放射医学研究所 
杨文峰 100039 北京北太平路医院 北京放射医学研究所 
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中文摘要:
      局部重度放射性损伤常波及肌肉、神经和骨骼, 临床治疗非常困难。我们采用姑息性清创术和以各种肌皮瓣, 轴型皮瓣及大网膜移植治疗85例此类溃疡, 所有的皮瓣和大网膜成活, 溃疡一期愈合率92.9%.实践证明外科治疗此类溃疡不仅缩短了疗程, 而且减少了并发症。
英文摘要:
      Local severe radiation ulcers usually lead to injuries of muscles,nerves,bones and secondary infections which result in progressive necrosis.We have used palliative debrdement and myo-cutanerous flaps,axial flaps and greater omentum to treat 85 cases of severe radiation ulcers.All of the flaps and greater omenta survived completely with a primary healing rate of 92.9%.Our clinical practice showed that the surgical treatment of severe radiation ulcers could not only shorten the course of treatment but also reduce complications.
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