不同皮瓣修复方法治疗头面部皮肤缺损的效果分析  

Analysis of the effect of different skin flaps in repairing head and face skin defects

作　　者：池凯 刘杨 周水勇 王银钰 高栋梁[2] CHI Kai;LIU Yang;ZHOU Shuiyong;WANG Yinyu;GAO Dongliang(Department of Plastic Surgery,Zhengdong Noah Family Medical Aesthetic Clinic in Zhengzhou City of Henan Province,Zhengzhou,Henan,450000;Department of Burns Plastic Surgery,Affiliated Hospital of Yan′an University,Yan′an,Shaanxi,716000)

机构地区：[1]河南省郑州市郑东诺亚一家医疗美容门诊部整形外科,河南郑州450000 [2]延安大学附属医院烧伤整形手外科,陕西延安716000

出　　处：《实用临床医药杂志》2020年第22期84-86,96,共4页Journal of Clinical Medicine in Practice

摘　　要：目的比较不同皮瓣修复方法对头面部皮肤缺损的治疗效果。方法选取60例头面部皮肤缺损患者作为研究对象,均行皮瓣修复治疗,根据手术方案的不同将患者分成3组,A组(n=14)采用双侧推进皮瓣修复治疗,B组(n=21)采用A-T皮瓣修复治疗,C组(n=25)采用菱形皮瓣修复治疗,比较3组患者的缺损部位、并发症发生率,随访1年,比较3组的瘢痕情况。结果 3组缺损部位比较,差异有统计学意义(P <0.05);所有患者皮瓣均成活,无皮瓣坏死情况发生;A组、B组、C组的并发症发生率分别为7.14%、9.52%、8.00%,差异无统计学意义(P> 0.05);3组瘢痕颜色、弹性程度评分和瘢痕宽度比较,差异无统计学意义(P> 0.05);C组瘢痕平整度评分低于A组和B组,差异有统计学意义(P <0.05)。结论双侧推进皮瓣修复、A-T皮瓣修复、菱形皮瓣修复均可有效修复头面部皮肤缺损,其中菱形皮瓣修复的瘢痕平整度更佳。Objective To compare the effects of different skin flaps in repairing head and face skin defects.Methods A total of 60 patients with facial skin defects were selected,and all underwent flap repairing.They were divided into three groups according to different operation programs.Group A(n=14)conducted double side advancing flap repair,group B(n=21)used A-T flap repair,and group C(n=25)used rhomboid skin flap to repair defects.Defect areas and complication rates were compared,and scar conditions of three groups were compared after 1 year follow up.Results The defect sites of the three groups showed significant differences(P<0.05).All flaps survived,and there was no necrosis of flaps.The complication rates of group A,group B and group C were 7.14%,9.52%and 8.00%,respectively,but there were no significant differences among the three groups(P>0.05).There were no significant differences in scar color,elasticity degree score and scar width among the three groups(P>0.05).The flatness score of group C was significantly lower than that of group A and group B(P<0.05).Conclusion Bilateral advancing skin flap,A-T skin flap and rhomboid skin flap repair can effectively repair skin defects of head and face,and rhomboid skin flap has smoother scar.

关 键 词：头面部皮肤缺损 皮瓣修复 瘢痕 双侧推进皮瓣修复 A-T皮瓣修复 菱形皮瓣修复 

分 类 号：R722.14[医药卫生—儿科]