轴型复合组织瓣在修复唇癌术后缺损中的应用  

Application of axial-pattern composite tissue flap to the repair of skin defects after lip cancer resection

作　　者：杨文娟[1] 张桂云[1] 吴在永 姚春丽[1] Yang Wenjuan;Zhang Guiyun;Wu Zaiyong;Yao Chunli(Department of Dermatology,The Second Hospital of Jilin University,Changchun 130041,China)

机构地区：[1]吉林大学第二医院皮肤科,长春130041

出　　处：《中华皮肤科杂志》2019年第2期115-117,共3页Chinese Journal of Dermatology

基　　金：吉林省科技发展计划项目(20170414055GH、20180519006JH).

摘　　要：目的探讨轴型复合组织瓣在修复唇癌术后缺损中的应用。方法2012年7月至2017年12月在吉林大学第二医院皮肤科收集8例唇癌患者,切除唇部肿物后全层缺损占唇总长度的1/3~1/2,均采用以唇动脉为轴心的轴型复合组织瓣进行修复。结果修复术后皮瓣全部存活,目前分别随访6个月至5年,均未见肿瘤复发,且唇部形态美观,功能得到改善,患者较为满意。结论以唇动脉为轴心的轴型复合组织瓣可修复唇癌术后皮肤缺损,能较好地恢复唇的解剖结构和美学功能。ObjectiveTo evaluate the performance of axial-pattern composite tissue flap in the repair of skin defects after lip cancer resection.MethodsFrom July 2012 to December 2017,8 patients with lip cancer were enrolled from Department of Dermatology,the Second Hospital of Jilin University.After lip tumor resection,the full-thickness defects were as long as 1/3 to 1/2 length of the lip,and were repaired with axial-pattern composite tissue flaps based on labial arteries.ResultsAll the axial-pattern composite tissue flaps survived after the surgery.During the follow-up of 6 months to 5 years,no tumor recurrence was observed in the 8 patients,the shape and function of lips were improved,and the patients were satisfied.ConclusionSkin defects after lip cancer surgery can be repaired with axial-pattern composite tissue flaps based on labial arteries,which can restore the anatomical structure and aesthetic function of the lip well.

关 键 词：唇肿瘤 修复外科手术 轴型皮瓣 

分 类 号：R739.8[医药卫生—肿瘤]