Reading man皮瓣及其临床应用  

Clinical application of Reading man flap

作　　者：李宾[1] 刘安堂[1] 赵耀忠[1] 朱晓海[1] 江华[1] 张文俊[1] 

机构地区：[1]第二军医大学附属长征医院整形外科,上海200003

出　　处：《中华整形外科杂志》2013年第2期94-96,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨应用Reading man皮瓣修复圆形或椭圆形创面的效果，并评价其优缺点。方法在非对称z瓣的基础上，共设计F1（三角皮瓣）、F2（矩形瓣）2个皮瓣，修复切除病变组织或清创后残留的0．8cm×0．8cm～9．0cm×8．0cm圆形或椭圆形创面。结果2008至2011年采用此法共修复32例，所设计的皮瓣均能完全覆盖创面，且无感染、无明显猫耳形成，仅有1例皮瓣发生面积小于5％局部坏死，经换药后自行愈合，5例切口延迟愈合，术后瘢痕均不明显。结论Reading man皮瓣设计灵活，是修复圆形或椭圆形皮肤组织缺损的良好选择。Objective To investigate the effect of Reading man flap for the closure of round or elliptical-shaped defect. Methods Based on the asymmetric Z flaps, F1 （triangular flap） and F2 （rectangular flap） flaps were designed to cover the round or elliptical-shaped defects. The flaps size ranged from 0. 8 cm× 0. 8 cm to 9.0 cm× 8.0 cm. Results From 2008 to 2011, 32 cases were treated without infection or dog-ear deformity. Less than 5% of local necrosis happened in one flap, which healed spontaneously after dressing. Delayed healing happened in 5 cases. The scar after operation was inconspicuous. Conclusions Reading man flap can be designed flexibly. It is a good option for the closure of round or elliptical-shaped defects.

关 键 词：局部皮瓣 READING man皮瓣 缺损 

分 类 号：R622[医药卫生—整形外科]