单侧扇形蒂皮下蒂V-Y推进皮瓣修复面部皮肤软组织缺损  

The application of the subcutaneous pedicle V-Y advancement flap in repairing facial soft tissue defects

作　　者：孙晓晨 刘毅 张鲜英 肖斌 陈黎明 Sun Xiaochen;Liu Yi;Zhang Xianying;Xiao Bin;Chen Liming(Department of Burn and Plastic Surgery,The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army,Lanzhou 730000,China)

机构地区：[1]解放军联勤保障部队第940医院烧伤整形科,兰州730000

出　　处：《中华整形外科杂志》2021年第6期656-658,共3页Chinese Journal of Plastic Surgery

摘　　要：目的总结采用单侧扇形蒂皮下蒂皮瓣修复面部皮肤软组织缺损的经验。方法2015年9月至2018年9月,解放军联勤保障部队第940医院烧伤整形科收治面部皮肤软组织缺损患者20例,男12例,女8例,年龄5~40岁,平均25岁。在面部软组织缺损部位的一侧,沿皮纹方向设计切取单侧扇形蒂皮下蒂皮瓣,旋转推进修复缺损部位。观察术后修复效果。结果20例皮瓣全部成活,切口一期愈合,均随访3个月至1年,面部器官无瘢痕牵拉移位,切口瘢痕不明显,外形满意,达到美容修复效果。结论对于面部器官周围皮肤软组织缺损,采用单侧扇形蒂皮下蒂皮瓣修复简单易行,损伤小,皮瓣血运稳定,修复外形满意。Objective To summarize the experience of unilateral fan-shaped pedicle flap in repairing facial soft-tissue defects.Methods From September 2015 to September 2018,20 patients with facial skin and soft-tissue defects were admitted to the 940th Hospital of the Joint Logistic Support Force of the PLA,including 12 males and eight females,aged between five and 40 years old,with an average age of 25 years.On the side of the facial defect,a unilateral fan-pedicled subcutaneous pedicle flap,parallel with the skin lines,was designed to repair the defect in a rotation-advancement way.Results All the 20 cases survived,and the incision healed in the first stage.All the patients were followed up for three months to 1 year.The facial organs showed no displacement.The scar of the incision was not obvious,and the patients were satisfied with the appearance,which achieved the cosmetic repair effect.Conclusions To repair the soft-tissue defect around the facial organs,the unilateral fan-shaped pedicle flap is a good choice.It provides a simple and easy method.The damage is slight,the flap blood supply is stable,and the outcome is satisfactory.

关 键 词：面部损伤 修复外科手术 皮下蒂皮瓣 面部皮肤软组织缺损 美容修复 

分 类 号：R622[医药卫生—整形外科]