颞浅筋膜瓣预构皮瓣修复面部大面积瘢痕的临床研究  

Clinical study of superficial temporal fascia flap prefabricated flap for repairing large area facial scar

作　　者：孙守亮[1] 黄伟[1] SUN Shou-liang,HUANG Wei(Department of burns and plastic surgery, Zaozhuang municipal hospital, Shandong Province,277100,Chin)

机构地区：[1]山东枣庄市立医院烧伤整形美容科,山东枣庄277100

出　　处：《中国医疗美容》2018年第5期18-20,共3页China Medical Cosmetology

摘　　要：目的观察颞浅筋膜瓣预构皮瓣修复面部大面积瘢痕的临床效果。方法选取2015年1月至2017年1月我院收治的面部大面积瘢痕患者57例,随机分为观察组(29例)和对照组(28例),观察组采用颞浅筋膜瓣预构颈部扩张皮瓣修复治疗,对照组采用传统的背阔肌皮瓣进行治疗;观察两组患者修复皮瓣的存活率和满意度情况。结果观察组患者的皮瓣存活率和满意度均明显高于对照组,其差异均具有统计学意义(P<0.05)。结论用颞浅筋膜瓣预构颈部扩张皮瓣修复面部大面积瘢痕效果好,患者满意度高。Objective To observe the clinical effect of superficial temporal fascia flap prefabricated flap in repairing large area facial scar. Methods 57 patients with large area of facial scar were selected from January 2015 to January 2017 in our hospital, they were randomly divided into observation group（29 cases） and control group（28 cases）, the observation group with superficial temporal fascia flap prefabricated cervical expanded skin flap repair treatment, the control group using traditional latissimus dorsi flap for treatment; observe the survival rate and the satisfaction of two groups of patients with skin flap repair. Results The survival rate and satisfaction of the flap in the observation group were significantly higher than those in the control group, the differences were statistically significant（P〈0.05）. Conclusion It is a good method to repair the large area scar of the face by using the expanded skin flap of the superficial temporal fascia flap, and the patient satisfaction is high.

关 键 词：颞浅筋膜瓣 瘢痕 预构皮瓣 

分 类 号：R622[医药卫生—整形外科]