局部皮瓣在头面部皮肤恶性肿瘤修复重建中的临床应用  

Clinical application of local flap in the repair and reconstruction of malignant tumors of the head and face skin

作　　者：高原 张本源 夏铁男 张芷豪 邱恩铎 张晓晶 商冠宁 GAO Yuan;ZHANG Benyuan;XIA Tienan;ZHANG Zihao;QIU Enduo;ZHANG Xiaojing;SHANG Guanning(Department of Bone and Soft Tissue Tumour Surgery, Liaoning Provincial Cancer Hospital Cancer Hospital of China Medical University, Shenyang 110042,China)

机构地区：[1]辽宁省肿瘤医院(中国医科大学肿瘤医院,大连医科大学临床肿瘤学院)骨软组织肿瘤科,辽宁沈阳110042

出　　处：《中国肿瘤外科杂志》2019年第1期54-56,76,共4页Chinese Journal of Surgical Oncology

基　　金：辽宁省自然科学基金指导计划项目(20180550547);沈阳市高层次创新人才项目(RC180064)

摘　　要：目的探讨局部皮瓣在修复头面部皮肤恶性肿瘤软组织缺损的可行性。方法选择2015年6月至2018年10月辽宁省肿瘤医院收治的头面部皮肤恶性肿瘤13例为研究对象,根据缺损部位、面积和形状选择皮瓣类型。6例采用叶状皮瓣,3例采用菱形皮瓣,4例采用V-Y推进皮瓣于广泛切除术后行局部皮瓣移植修复皮肤缺损。结果 1例出现皮瓣部分坏死,经局部换药处理后延迟愈合,其余病例均一期愈合,经6～28个月(平均17个月)随访,皮瓣色泽、质地均佳。尚无复发及死亡病例。结论局部皮瓣在头面部皮肤恶性肿瘤修复重建的方式效果确切,可达到最佳修复效果,值得临床推广和应用。Objective To investigate the feasibility of local flap in repairing soft tissue defects of head and face skin malignant tumors. Methods Thirteen cases of head and face skin malignant tumors were treated in Liaoning Cancer Hospital from June 2015 to October 2018. The types of skin flaps were selected according to the location, area and shape of the defect. Leaf flaps were used in 6 cases, rhomboid flaps in 3 cases, and V-Y push flaps were used in 4 cases to repair skin defects after extensive resection. Results One case of skin flap necrosis occurred, and delayed healing after local dressing treatment. The other cases were healed in the first stage. After 6 to 28 months, the average follow-up was 17 months. The color and texture of the flap were good. There were no deaths or recurrences. Conclusions The local flap is effective in the repair and reconstruction of malignant tumors of the head and face skin. It can achieve the best repair effect and is worthy of clinical promotion and application.

关 键 词：皮肤恶性肿瘤 头面部 软组织缺损 局部皮瓣 

分 类 号：R739.5[医药卫生—肿瘤]