| YANG Zhi-xiang,YANG Wen-feng,SUN Xiang-li,et al.Clinical treatment of lumbodorsal radiotherapy ulcers[J].Chinese Journal of Radiological Medicine and Protection,2004,24(1):42-43,46 |
| Clinical treatment of lumbodorsal radiotherapy ulcers |
| Received:February 28, 2003 |
| DOI： |
| KeyWords:Lumbodorsal Radiotherapy ulcer Treatment |
| FundProject: |
| Author Name | Affiliation | | YANG Zhi-xiang | Department of Burn and Plastic Surgery, Hospital attached to Academy of Military Medical Sciences, Beijing 100039, China | | YANG Wen-feng | Department of Burn and Plastic Surgery, Hospital attached to Academy of Military Medical Sciences, Beijing 100039, China | | SUN Xiang-li | Department of Burn and Plastic Surgery, Hospital attached to Academy of Military Medical Sciences, Beijing 100039, China | | 王兆海 | Department of Burn and Plastic Surgery, Hospital attached to Academy of Military Medical Sciences, Beijing 100039, China |
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| Abstract:: |
| Objective To summarize our experience in the treatment of 12 cases of severe lumbodorsal radio-therapy ulcers. Methods Of the 12 cases,4 were male and 8 female.The youngest patient was 29 and the oldest was 67 years old.Their injuries were mainly resulted from radiotherapy for costal metastasis of breast cancer,carcinoma of uterus and dorsal skin carcinoma or scar induced by 60Coγ-rays,deep X-rays or superficial accelerator electrons.Their local accumulative dose was 60-120 Gy.Palliative debridement was performed with partial excision of the ribs and spinous process.And then the defects were repaired with local skin flap in 2 cases,parascapular skin flap in 1 case and island musculocutaneous flap of latissiumus dorsi muscle in 9 cases. Results All the skin flaps and musculocutaneous flaps grafted on the wounds of the 12 cases survived (100%).Grade A healing was achieved in 11 cases of ulcer (91.7%) and grade B healing in 1 cases (8.3%).All the skin flaps and musculocutaneous flaps grafted survived and the ulcers never recurred. Conclusion Severe lumbodorsal radiotherapy injury often results in complications.We performed palliative excision and repaired by transferring an axial skin flap or a musculocutaneous flap with good blood circulation selected in accordance with the principles of plastic surgery,which can effectively improve blood circulation and promote wound healing.Reverse musculocutaneous flap of latissiumus dorsi muscle is an especially good material for reconstruction.It has axial blood vessel and proper thickness.It is broad and can be rotated with great range and the donor site can be sutured directly. |
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