亚单位原则设计预扩张皮瓣修复面部瘢痕  

Pre-dilated flap design based on subunit principles in repairing facial scars

作　　者：赵晗 张志 李罡 刘昌玲 陈宾 李孝建 ZHAO Han;ZHANG Zhi;LI Gang;LIU Changling;CHEN Bin;LI Xiaojian(School of Clinical Medicine,Guizhou Medical University,Guiyang 550004,China;Department of Burn and Plastic Surgery,Guangzhou Red Cross Hospital,Guangzhou 510220,China)

机构地区：[1]贵州医科大学临床医学院,贵州省贵阳市550004 [2]广州市红十字会医院烧伤整形科,广东省广州市510220

出　　处：《组织工程与重建外科》2022年第6期476-479,共4页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨按亚单位原则使用预扩张皮瓣修复面部瘢痕的临床疗效。方法回顾分析2018年5月至2020年9月收治的8例面部瘢痕患者,其中男性5名,女性3名,年龄6~47岁(平均21岁),瘢痕大小4 cm×7 cm~12 cm×9 cm。根据面部亚单位分区设计,Ⅰ期行头部或颈部扩张器植入术,注水2~3个月(平均2个月),注水完成后Ⅱ期行面部瘢痕切除及扩张皮瓣修复,供瓣区直接拉拢缝合。结果8例扩张皮瓣均成活,切口愈合良好,术后随访6~12个月,扩张皮瓣色泽、质地与面部相似,修复后的形态及功能评分较术前有明显提高(P<0.05)。结论根据亚单位原则设计预扩张皮瓣修复面部瘢痕,形态轮廓及功能可得到良好改善。Objective To explore the clinical efficacy of pre-dilated flaps designed according to subunit principles in repairing facial scars.Methods A retrospective analysis was conducted on 8 patients with facial scars admitted from May2018 to September 2020,including 5 males and 3 females,aged from 6 to 47 years old,with an average age of 21 years old,and scar size of 4 cm×7 cm-12 cm×9 cm.According to the design of facial subunit divisions,head or neck dilator implantation was performed in stage I,and water injection was performed for 2-3 months.After water injection,facial scar resection and dilated flap repair were performed in stageⅡ,and the donor flap area was directly closed and sutured.Results All the 8 cases of dilated flaps survived and the wound healing was good.The color and texture of the dilated flaps were similar to those of the face,and the facial morphology and function were satisfactory after 6-12 months of follow-up.Morphological and functional scores were higher after repair,and the difference was statistically significant(P<0.05).Conclusion Pre-dilated flaps designed according to the subunit principle are recommended for repairing facial scar,and the shape,contour and function can be improved.

关 键 词：面部瘢痕 亚单位 扩张皮瓣 

分 类 号：R619.6[医药卫生—外科学]