斧形皮瓣在眶周皮肤软组织缺损修复中的应用  

Application of dolabriform flap in repairing periorbital skin and soft tissue defects

作　　者：晏丹[1] 黄泽春[1] 张安利[1] 李石峰[1] 梁志为[1] 唐红伟[1] 

机构地区：[1]郴州市第一人民医院转化医学研究所&整形美容科,423000

出　　处：《中华医学美学美容杂志》2012年第6期433-436,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨应用斧形皮瓣修复眶周皮肤软组织缺损的疗效和优越性。方法21例眶周皮肤病变患者病灶切除术后．根据缺损部位、面积、形状及邻近皮肤情况设计邻位或易位斧形皮瓣．行Ⅰ期修复术。病变范围最大面积为3．5cm×4．5cm,最小为1．2cm×1．5cm。斧形皮瓣斧蒂宽：斧柄长最大达1：5．斧蒂宽：斧刃缘长最大达1：4。结果21例斧形皮瓣术后全部存活良好．手术切口Ⅰ期愈合。18例患暂随访3～12个月，尤眼睑、眉、鼻梁等受牵扯移位变形，皮瓣肤色、质地、厚度等与邻近部位皮肤相近．无明显差异．瘢痕程度轻．美容效果满意。结论根据眶周不同区域自然皮纹线特征，应用不同形式的斧形皮瓣修复较大横径的眶周皮肤软组织缺损，设计灵活。制作简便。皮瓣存活良好，能获得功能与形态双重满意效果。Objective To discuss the efficacy and advantage of dolabriform flap in repairing periorhital skin and soft tissue defects. Methods 21 patients with periorbital skin disease were treated by radical resection, and then the adjacent or distant dolabriform flaps were designed for the one stage repair of skin and soft tissue defects in these cases according to the defect location, size, shape and neighborous skin conditions. The largest defect size was 3.5 cm × 4.5 cm, The smallest defect size was 1.2 cm × 1.5 cm. The largest ratio of hatchet pedicle width to axe handle length reached 1 ： 5, and the largest ratio of hatchet pedicle width to hatchet edge length was 1 ： 4. Results All of these dolahriform flaps in 21 patients survived well with primary incision healing. 18 cases had been followed up for 3 to 12 months, showing that there was no deformation found on eyelids, eyebrow and nose, the colour of these flaps were similiar to that of the normal skin, without being fat and clumsy, all scars were almost invisible, and the cosmetic results were satisfactory. Conclusions I.arger diameter of skin anti soft tissue defect in different periorbital parts could be repaired individually with dolabriform flap according to the characters of natural lines, and it is a simple and flexible method for repairing periorbital skin defects, and can achieve satisfactory functional and cosmetic results.

关 键 词：面部 皮肤缺损 斧形皮瓣 肿瘤 

分 类 号：R779.6[医药卫生—眼科] R622[医药卫生—临床医学]