皮下蒂皮瓣与传统V-Y皮瓣修复在面部肿瘤切除后创面修复中的临床对比研究  

Clinical efficacy of subcutaneous pedicle flap and traditional V-Y flap in wound repair after facial tumor resection

作　　者：尚萍 管世昊 邢书亮 沈卫星 印晓伟 SHANG Ping;GUAN Shihao;XING Shuliang;SHEN Weixing;YIN Xiaowei(Qingpu Branch,Zhongshan Hospital Affiliated to Fudan University,Shanghai 201700,China)

机构地区：[1]复旦大学附属中山医院青浦分院,上海201700

出　　处：《陕西医学杂志》2022年第11期1401-1403,1436,共4页Shaanxi Medical Journal

基　　金：上海市科学技术委员会科研项目(12DZ1940305)。

摘　　要：目的:探究皮下蒂皮瓣与传统V-Y皮瓣修复在面部肿瘤切除后创面修复中的临床疗效。方法:将行面部软组织病损切除术的120例面部肿瘤患者作为研究对象,并按照不同创面修复方式将患者分为观察组和对照组(各60例)。对照组患者采用传统V-Y皮瓣修复,观察组患者进行皮下蒂皮瓣修复。比较两组患者皮瓣尺寸、术后皮瓣存活状况、创面修复疗效、修复满意度、并发症发生情况,并对患者修复前后创面评分进行评估比较。结果:与对照组相比,观察组患者临床总有效率、术后皮瓣存活率以及修复满意度均明显升高(均P<0.05),并发症发生率明显降低(P<0.05)。观察组患者皮瓣长度和宽度与对照组相比有明显增加(均P<0.05)。修复前两组患者创面评分比较无统计学差异(P>0.05),修复后有明显升高(P<0.05),且组间差异有统计学意义(P<0.05)。结论:对行面部肿瘤切除术的患者,采用皮下蒂皮瓣修复能够有效提高皮瓣存活率、患者满意度高,降低患者术后并发症的发生风险,同时患者术后创面评分也有显著提升,临床有效性和安全性较高,为患者提供了一种更加可靠的修复方式。Objective:To explore the clinical efficacy of subcutaneous pedicle flap and traditional V-Y flap in wound repair after facial tumor resection.Methods:A total of 120 facial tumor patients who underwent facial soft tissue resection were selected and divided into observation group and control group according to different wound repair methods,with 60 cases in each.Patients in the control group were repaired with traditional V-Y skin flaps,and patients in the observation group were repaired with subcutaneous pedicle flaps.The flap size,postoperative flap survival,wound repair efficacy,repair satisfaction,and complications were compared between the two groups,and the wound scores before and after repair were evaluated and compared.Results:Compared with the control group,the total clinical effective rate,postoperative flap survival rate and repair satisfaction of the observation group were significantly increased(all P<0.05),and the complication rate was significantly decreased(P<0.05).At the same time,the length and width of the skin flap in the observation group were significantly increased(all P<0.05).There was no significant difference in wound scores between the two groups before repair(P>0.05),but there was a significant increase after repair(P<0.05),and the difference between the two groups was statistically significant(P<0.05).Conclusion:For patients undergoing facial tumor resection,subcutaneous pedicle flap repair can effectively improve flap survival rate and patient satisfaction,reduce the risk of postoperative complications,and significantly improve postoperative wound scores.The efficacy and safety are high,providing patients with a more reliable repair method.

关 键 词：皮下蒂皮瓣 传统V-Y皮瓣 面部肿瘤切除 创面修复 创面评分 皮瓣存活 

分 类 号：R739.81[医药卫生—肿瘤]