マイクロサージャリーを用いた放射線照射後潰瘍 5 症例の治療経験 Treatment of Radiation Ulcer Using Microsurgery in 5 Patients

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著者

    • 藤田 悠気 FUJITA Yuki
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 佐々木 薫 SASAKI Kaoru
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 赤澤 俊文 AKAZAWA Toshifumi
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 江藤 綾乃 ETO Ayano
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 相原 有希子 AIHARA Yukiko
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 関堂 充 SEKIDO Mitsuru
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba

抄録

Surgical treatment is required for patients with chronic or refractory radiation ulcers. For reconstruction, distal pedicled flaps are preferable because the tissue surrounding the ulcer is often damaged by radiotherapy. We treated five patients with radiation ulcers using microsurgery. We herein summarize the surgical techniques and outcomes, and analyzed these data retrospectively. Two ulcers were considered to be due to early skin reactions, and the other three were thought to be late skin reactions because they had been treated by radiotherapy over 10 years prior to presentation. For one patient, a supercharged rectus abdominis musculocutaneous flap was used, and for the other four, free flaps were used. In two patients, reanastomosis was required because of venous thrombosis. In two patients, we used a vein graft. All flaps were successfully transferred without necrosis. In conclusion, reconstruction with vascular anastomosis is useful for surgical treatment of radiation ulcers when a pedicled flap cannot be used and the recipient vessels are suitable for anastomosis.

収録刊行物

  • 日本マイクロサージャリー学会会誌

    日本マイクロサージャリー学会会誌 31(2), 86-92, 2018

    日本マイクロサージャリー学会

各種コード

  • NII論文ID(NAID)
    130007410542
  • 本文言語コード
    JPN
  • ISSN
    0916-4936
  • データ提供元
    J-STAGE 
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