扇形瘢痕组织瓣修复耳廓瘢痕疙瘩去核后创面  

Use of fan-shaped scar flap for reconstruction after auricular keloid core excision： an analysis of 193 lesions in 177 patients

作　　者：钱维[1] 周牮[1] 范巨峰[1] 张岩崑[1] 吕伟[1] 侯莹[1] 曹迁[1] 李晶[1] 

机构地区：[1]首都医科大学附属北京朝阳医院整形外科,100020

出　　处：《中华整形外科杂志》2016年第4期268-271,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨扇形瘢痕组织瓣在耳廓瘢痕疙瘩去核后创面修复中的应用.方法 将瘢痕疙瘩去核后表面瘢痕瓣由曲面修剪为平面扇形瘢痕瓣,修复耳廓创面,并联合应用得保松瘢痕内注射;采用温哥华瘢痕量表修订版对治疗前后瘢痕的严重程度进行评分.结果 2011年3月至2014年3月采用本法共治疗耳部瘢痕疙瘩177例193只耳,皮瓣全部成活,耳廓外观满意,有效率96.4％（186/193）,复发率3.6％ （7/193）.结论 扇形瘢痕组织瓣修复耳廓瘢痕疙瘩去核后创面,术后效果好,患者满意度高.Objective To investigate the clinical effects of fan-shaped scar flaps for reconstruction of the wounds after auricular keloid core excision.Methods 193 auricular keloid lesions in 177 patients were treated.The fan-shaped scar flap,harvested from the surface of the auricle keloid,was clipped into the suitable size.The curved surface of flap was shaped into flat surface to cover the wound after keloid core excision without tension.Adjuvant intralesional injection of corticosteroid was performed intraoperatively and postoperatively.Results All the flaps survived completely with satisfactory aesthetic results.The effective rate of treatment was 96.4% （186/193）,and the recurrence rate was 3.6% （7/193）.Conclusions Satisfactory results can be achieved with the fan-shaped scar flap in the reconstruction after auricular keloid core excision.It＆#39; s an effective treatment suitable for auricle keloids in different shapes and sizes.

关 键 词：瘢痕组织瓣 耳廓 瘢痕疙瘩 温哥华瘢痕量表 

分 类 号：R622[医药卫生—整形外科]