多种局部皮瓣在唇缺损修复中的临床应用分析  

Application analysis of different local flaps in the repairing lip defects

作　　者：宋凤敏[1] 王琪影[1] 朱志娟[1] 王晓丽[1] 

机构地区：[1]郑州大学第一附属医院整形外科,河南郑州450052

出　　处：《中国美容医学》2015年第20期6-9,共4页Chinese Journal of Aesthetic Medicine

基　　金：组织移植技术在体表肿瘤整复中的临床应用(编号201303048)

摘　　要：目的:探讨局部皮瓣在唇缺损中的应用,为不同类型的唇缺损提供修复方案。方法:对2011年以来采用不同局部皮瓣修复的49例唇缺损病例进行回顾性分析,49例患者根据唇缺损创面的部位、大小等具体情况,分别选择A-T皮瓣、V-Y推进皮瓣、直接拉拢缝合并Z改形、唇复合组织瓣、交唇皮瓣、双蒂下唇滑行粘膜瓣,同侧唇颊部旋转皮瓣等方式修复。结果:41例患者皮瓣全部成活,术后口唇外观及功能恢复较好,效果满意。结论:针对各种原因引起的口唇缺损,应根据创面的部位、大小等具体情况选择适宜的皮瓣修复,以期取得满意的术后效果。Objective To study the application of local flap in reconstruction of lip tissue defects,and offer solutions for different types of lip tissue defects. Methods Forty-nine patients who received local flap reconstruction of lip tissue were analised since 2011 in our hospital,According to the different location and shape of tissue depects,different local flaps were choosed including A-T flap, V-Y advanced flap,Direct suture combined Z plasty,lip compound flaps,cross-lip flaps,inferior labial musculo mucosal double-pedicle flap,unilateral labial-buccat rotating flaps. Results All flaps survived well without any obvious complications.The appearance and function were satisfactary. Conclusion According to the size,shape,location of the defects,different local flaps were designed to repair the defects and satisfactory results could be obtained.

关 键 词：唇缺损 皮瓣 A-T皮瓣 V-Y推进皮瓣 Z改形 复合组织瓣 粘膜瓣 修复 

分 类 号：R622[医药卫生—整形外科]