局部皮瓣在面部软组织缺损修复中的应用  

Application of Local Flap in the Repair of Facial Soft Tissue Defect

作　　者：曹林[1] 席庆春 方明松[1] 李旋[1] 赵玲玲 CAO Lin;XI Qing-chun;FANG Ming-song;LI Xuan;ZHAO Ling-ling(Department of Burn and Plastic Surgery,the Second People's Hospital of Hefei,Hefei 230000,Anhui,China)

机构地区：[1]合肥市第二人民医院整形烧伤修复外科,安徽合肥230000

出　　处：《中国美容医学》2021年第7期15-17,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨局部皮瓣美容修复面部皮肤软组织缺损的临床效果。方法:选取2016年2月-2019年10月收治的头面部肿物、瘢痕、外伤患者60例,根据面部软组织缺损部位、面积设计局部皮瓣美容修复,观察患者皮瓣修复效果、心理变化及患者满意度及复发情况。结果:皮瓣成活良好切口愈合,术后患者SDS评分、SAS评分均低于术前,差异有统计学意义(P<0.05)。随访12个月,58例患者的皮瓣与周边皮肤组织厚度、色泽无明显差异,无牵拉及不对称,外观与功能修复效果满意,满意度为96.67%;仅2例患者复发,复发率为3.33%。结论:局部皮瓣美容修复面部皮肤软组织缺损,操作简单,修复皮瓣的性状与缺损处相似,瘢痕小,安全性高,患者满意度高,值得临床应用。Objective To investigate the clinical effect of local skin flap in cosmetic repair of facial skin and soft tissue defect.Methods Sixty patients with head and face masses,scars and trauma admitted from February 2016 to October 2019 were selected.According to the site and area of facial soft tissue defect,local skin flap was designed for cosmetic repair,and the effect of skin flap repair,psychological changes,patient satisfaction and recurrence were observed.Results The flap were survived and the incisions were well healed among patients,postoperative scores of SDS and SAS were lower in patients compared to preoperative scores,the differences were statistically significant(P<0.05).After 12 months of follow-up,there was no significant difference in thickness and color between the flap and the surrounding skin tissue in 58 patients.No pull and asymmetric were found.The satisfaction degree of appearance and function restoration was 96.67%,only two patients relapsed and the recurrence rate was 3.33%.Conclusion The local skin flap could be used for cosmetic repair of facial skin and soft tissue defect.The thickness and color of the skin flap are similar to the defect.Patients had small scar.The local skin flap had high level of safety and satisfaction.It is suggested for further clinical application.

关 键 词：局部皮瓣 面部皮肤肿瘤 软组织缺损 创面修复 存活率 

分 类 号：R622[医药卫生—整形外科]