中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (11): 792-794.doi: 10.12144/zgmfskin202411792

• 临床研究 • 上一篇    下一篇

胸廓内动脉穿支皮瓣联合浅层X线治疗女性胸部瘢痕疙瘩疗效评价

谢凯1,2,刘国艳1,2,曹楠1,2,谢卫星1,2,王秀环1,2,武宜雷1,2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022；2山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2024-11-15 发布日期:2024-10-14

Efficacy of internal mammary artery perforator flap combined with superficial X-ray radiotherapy for anterior chest wall keloid in female patients

XIE Kai1,2, LIU Guoyan1,2, CAO Nan1,2, XIE Weixing1,2, WANG Xiuhuan1,2, WU Yilei1,2   

  1. 1 Hospital for Skin Diseases, Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2024-11-15 Published:2024-10-14

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摘要： 目的：探讨胸廓内动脉穿支（internal mammary artery perforator, IMAP）皮瓣联合术后浅层X线治疗女性患者胸部瘢痕疙瘩的疗效。方法：回顾性分析2022年12月至2024年1月我院收治的创面修复采用IMAP皮瓣，术后联合浅层X线治疗的8例女性胸部瘢痕疙瘩患者资料。结果：8例患者中合并窦道、感染4例，局部破溃2例，瘢痕疙瘩范围3.5 cm×5 cm~11 cm×5 cm。所有患者术后IMAP皮瓣均成活良好，术后胸部功能、乳房形态均较满意。随访期间，供受区无瘢痕增生复发，未见放射相关癌变，牵拉、疼痛、瘙痒症状明显缓解。结论：采用IMAP皮瓣联合浅层X线治疗女性胸部瘢痕疙瘩，可有效降低术区张力，获得较好的胸部功能及乳房形态。

关键词: 瘢痕疙瘩, 胸廓内动脉, 穿支皮瓣, 放射治疗

Abstract: Objective: To assess the efficacy of internal mammary artery perforator (IMAP) flap combined with superficial X-ray radiotherapy for anterior chest wall keloid in female patients. Methods: The data of eight female patients with chest keloid treated with IMAP flap combined with superficial X-ray radiotherapy after operation in our hospital from December 2022 to January 2024 were analyzed retrospectively. Results: Of 8 patients, four had sinus and two had ulceration. The size of keloid ranged from 3.5 cm×5 cm to 11 cm×5 cm. All IMAP flaps survived well. The patients were satisfied with the breast shape and symmetry after operation. During the follow-up period, no scar hyperplasia recurred and radiation-related carcinogenesis were observed. The symptoms of pulling, pain and itching were significantly relieved. Conclusions: IMAP flap repair combined with superficial X-ray radiotherapy can effectively reduce the tension of the operative area, and which can preserve the good breast shape.

Key words: keloid, internal mammary artery, perforator flap, radiotherapy