应用皮肤软组织扩张术修复面部皮肤缺损  

Clinic application of skin soft tissue expansion in cosmetic repair of facial tissue defects

作　　者：赵志力[1] 谷廷敏[1] 隋志甫[1] 李蠡[1] 石成方[1] 常冬青[1] 杨蓉娅[1] 

机构地区：[1]北京军区总医院皮肤激光整形美容中心,北京100125

出　　处：《中国美容医学》2011年第6期914-916,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探讨皮肤软组织扩张术用于面部皮肤缺损美容修复的临床应用价值。方法：I期手术根据32例面部组织病损修复需要的不同特点设计并制作扩张皮瓣,II期手术切除皮损区域并利用扩张皮瓣修复缺损区。结果：32例中,30例面部病损切除后利用扩张皮肤形成局部皮瓣一次完成修复,修复后的皮肤质地和色泽与受区接近,外形满意。一次修复缺损创面最大者约7cm×10cm。患者修复后皮损区愈合良好,瘢痕较小,功能恢复良好,效果满意。结论：运用皮肤扩张术修复面部病损切除后的皮肤缺损是一种较为理想的修复方法,在某些特殊情况下,可能还需要辅助植皮或应用连续扩张法完成修复。面部皮肤扩张技术的应用,使该区域的修复达到更接近正常的效果。Objective To investigate the clinical value of facial cutaneous lesions by capacity tissue expansion.Methods We designed and made the expanding flap according to the different characteristics and requirements of the 32 patients during the first period of their treatment.During the second period,we cut away the damaged skin and used the skill of expanding flap to repair the damaged part.Results Thirty in 32 cases underwent successful expanded flap correction of defects after skin lesion removing,with maximal defect being 7cm by 10cm in size.All of the patients obtained less scar which are not obviously seen,restored good function,the result is satisfactory.Conclusion Skin expansion is a good choice for correction of defects due to facial cutaneous lesion removing.Splitting skin grafting and sequential skin expansion are necessary when defect is too large to correct or expanded flap is not large enough.The application of expanding the skin of the face make the part to close more to the effect of the normal state after repaired.

关 键 词：皮肤软组织扩张术 面部组织缺损 皮瓣 修复术 

分 类 号：R622[医药卫生—整形外科]