局部皮瓣在修复头面部皮肤肿瘤切除后软组织缺损中的应用探讨  

Application of Local Skin Flap in Repairing Soft Tissue Defects after Resection of Head and Facial Skin Tumors

作　　者：方明松[1] 席庆春 李旋[1] 曹林[1] 赵玲玲 桑鹏飞 FANG Ming-song,XI Qing-chun,LI Xuan,CAO Lin,ZHAO Ling-ling,SANG Peng-fei(Department of Burn and Plastic Surgery, Hefei Second People＇s Hospital,Hefei 230011,Anhui,China)

机构地区：[1]合肥市第二人民医院烧伤整形外科,安徽合肥230011

出　　处：《中国美容医学》2018年第6期16-18,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨局部皮瓣在修复头面部皮肤肿瘤切除后软组织缺损中的应用价值。方法:选择2013年10月-2016年12月在笔者医院接受治疗的27例头面部皮肤肿瘤患者为研究对象,所有患者切除肿瘤后,均进行局部皮瓣移植修复手术。比较修复前后患者的心理状态(焦虑、抑郁)评分、皮瓣修复效果(切口愈合效果、色泽评分、美观度评分以及功能评分),同时对比患者修复前后生活质量评分以及患者满意度情况。结果:修复后,患者的SAS、SDS评分均明显低于修复前,差异有统计学意义(P<0.05)。患者切口愈合率为96.30%(26/27),修复后,皮肤色泽、美观度以及功能评分均明显高于修复前,差异有统计学意义(P<0.05)。修复后患者的躯体功能、心理功能、社会功能以及生活物质各评分明显高于修复前,差异具有统计学意义(P<0.05)。27例患者满意度为96.30%(26/27),随访1年,1例患者术后复发,复发率为3.70%。结论:采用局部皮瓣修复头面部皮肤肿瘤切除后软组织缺损效果确切,皮瓣成功活率高,安全性高,患者满意度高,值得临床推广应用。Objective To investigate the value of local flaps in the repair of soft tissue defects after resection of head and facial skin tumors. Methods 27 patients with soft tissue defects after resection of head and facial skin tumors who were treated in our hospital from October 2013 to December 2016 were included in this study. All patients underwent reconstructive surgery after removal of the tumor, that was, local rotating flap transplantation repair method. Compared the patient＇s mental state before and after repair（anxiety, depression） score, flap repair effect（incision healing, survival, luster score, aesthetic rating, and functional score）, and comparing the patient repair before and after the quality of life of the various indicators and their satisfaction. After one year of follow-up, the patient＇s postoperative recurrence rate was observed. Results After repair, the SAS and SDS scores of patients were significantly lower than those before repair, and the differences were statistically significant（P〈0.05）. The healing rate of incisional incision was 96.30%（26/27）. After repair, skin color, aesthetics and functional score were significantly higher than those before repair, and the differences were statistically significant（P〈0.05）. After repair, the physical function, psychological function, social function and life related scores of the patients were significantly higher than those before repair（P〈0.05）. The satisfaction of 27 patients was 96.30%（26/27）. Follow up for 1 year, one patients relapsed after operation, the recurrence rate was 3.70%. Conclusion The application of local rotating flap transplantation repair method has a definite effect on soft tissue defects. The flaps have a high survival rate and high safety. They are worthy of further recommendation in clinical use.

关 键 词：皮肤肿瘤 头面部 软组织缺损 局部皮瓣 修复 

分 类 号：R622[医药卫生—整形外科]