改进菱形皮瓣修复头面部肿瘤切除术后皮肤缺损  

The repair of craniofacial defects caused by tumorectomy with advanced rhomboid skin flap

作　　者：谢晞衷[1] 孟宏[1] 梁郁[1] 

机构地区：[1]广东省惠州市中心人民医院烧伤整形科,516001

出　　处：《组织工程与重建外科杂志》2005年第4期192-194,共3页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：广东省医药卫生科研基金资助项目(1995-10-134)

摘　　要：目的为了提高头面部皮肤肿瘤切除术后皮肤缺损创面的修复效果。方法1994年-2002年根据Z字成形及几何学原理,应用改进菱形皮瓣转位修复头面部皮肤肿瘤切除术后形成的皮肤组织圆形缺损创面36例,其中有2个感染创面,创面缺损部位:头部8例、面部28例。皮肤圆形缺损创面直径1．5cm-3cm。造成皮肤创面缺损的原因有皮肤血管瘤、黑毛痣、皮肤鳞状上皮癌等病灶切除术后所致皮肤缺损。结果34例伤口甲级愈合,外形美观,没有形成直线瘢痕;2例创面皮瓣远端中间部分1cm-2mm小范围皮肤干性坏死经换药后治愈,手术获得良好效果。皮肤鳞状上皮癌病人在伤口拆线后按常规进行放疗,皮瓣没有发生放射性损伤。结论应用改进菱形皮瓣修复皮肤圆形组织缺损具有设计合理、灵活性强的优点,是头面部皮肤肿瘤切除术后创面皮肤缺损修复的一种良好方法。Objective To improve the reparative effect of the craniofacial defects caused by tumorectomy. Methods according to Z plasty and geometric principle advanced rhomboid skin flap were applied to repair 36 cases of craniofacial defects caused by tumorectomy from 1994 to 2002. The locations included 8 cases of crania and 28 cases of face. The diameter of defects ranged from 1.5 cm to 3.0cm and the defects were caused by skin angioma、pilose nevus and squamous cancer. Results 34 cases of wound healing were A grade, and the outlines are good without straight scar. While there was partial necrosis in 2 cases and they healed by dressing. Cases with squamous cancer undertook radiotherapy after operation. No radioactive damage occurred. Conclusion advanced rhomboid skin flap is a better reparative method for defects caused by turmorectomy because it is flexible and can be designed reasonable.

关 键 词：菱形皮瓣 肿瘤 修复 皮肤缺损 

分 类 号：R739.91[医药卫生—肿瘤] R739.8[医药卫生—临床医学]