| Yu Daojiang,Liu Yulong,Wang Youyou,Wang Rui,Wang Shuai,Wang Xiaoyun,Li Xiujie,Zhao Tianlan.The repair of acute radiation skin injury from 192Ir source at “5.7” radiation accident in Nanjing[J].Chinese Journal of Radiological Medicine and Protection,2016,36(5):368-371 |
| The repair of acute radiation skin injury from 192Ir source at “5.7” radiation accident in Nanjing |
| Received:February 06, 2016 |
| DOI：10.3760/cma.j.issn.0254-5098.2016.05.012 |
| KeyWords:192Ir Mild bone marrow form of acute radiation sickness from external exposure Degree Ⅳ acute radiation skin injury Repair Free latissimus dorsi myocutaneous flap |
| FundProject:江苏省临床医学科技专项(BL2014040);江苏省卫生计生委2014-2015年度预防医学科研项目(Y2015024);江苏省研究生培养创新工程项目(SJLX15-0580) |
| Author Name | Affiliation | E-mail | | Yu Daojiang | Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Liu Yulong | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | yulongliu2002@126.com | | Wang Youyou | Department of Nuclear Emergency Center, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Wang Rui | Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Wang Shuai | Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Wang Xiaoyun | Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Li Xiujie | Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | | | Zhao Tianlan | Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China | |
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| Abstract:: |
| Objective To explore the application of free latissimus dorsi myocutaneous flap to repair of degree Ⅳ acute radiation skin injury.Methods Review and summary were made of the repair process of degree Ⅳ acute radiation skin injury on right thigh of a patient named "Wang". Necrotic tissues was excised 62 d after radiation exposure. The extended wounds were covered 171 d after exposure with free joint latissimus dorsi myocutaneous flap (on the right latissimus dorsi myocutaneous flap and shoulder flap joint). The flap necrosis due to vascular anastomosis thrombosis was noted in part 180 days after exposure, and necrotic tissues was covered again 263 days after exposure with free latissimus dorsi myocutaneous flap on the left side. Results Degree Ⅳ acute radiation wound on the right thigh had already healed completely with ideal appearance gained, and functionality restored to large extent. Finally, the patient could walk about with the aid of crutch a year after exposure. Conclusions Latissimus dorsi muscle flap has constant vascular anatomy and multi-organizational capacity, and can provide larger area of skin grafts. Both free latissimus dorsi myocutaneous flap and its derived joint myocutaneous flap are applicable for repairing large area of degree Ⅳ acute radiation injury. Also, function and appearance can be achievable, which is worthy of extended uses. |
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