双侧反向菱形皮瓣修复面部类圆形皮肤缺损的效果  

Effect of double opposing rhomboid flap in repairing quasi-circular facial skin defects

作　　者：李雯 邵兆银 陈振雨[1] 苗嫄昕[1] 何才 周子艺 孙菲菲 冷向锋[1] Li Wen;Shao Zhaoyin;Chen Zhenyu;Miao Yuanxin;He Cai;Zhou Ziyi;Sun Feifei;Leng Xiangfeng(Department of Plastic and Aesthetic Surgery,Affiliated Hospital of Qingdao University,Qingdao 266071,China;Department of Medical Cosmetology,Chengwu People's Hospital,Heze 274200,China)

机构地区：[1]青岛大学附属医院整形美容外科,青岛266071 [2]山东成武县人民医院医学美容科,菏泽274200

出　　处：《中华医学美学美容杂志》2022年第6期497-499,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：山东省自然科学基金面上项目(ZR2021MH027)。

摘　　要：目的探讨双侧反向菱形皮瓣修复面部类圆形皮肤缺损的临床疗效。方法2020年1—12月,在青岛大学附属医院整形美容外科行面部皮肤病损切除患者30例,男12例、女18例,年龄14~65岁,平均34岁。面部皮肤缺损创面直径0.5~2.0 cm,用双侧反向菱形皮瓣修复面部皮肤病损切除后类圆形创面,随访3~12个月。结果30例患者切口均一期愈合,双侧反向菱形皮瓣全部成活。术后随访3~12个月,术区平整,切口瘢痕不明显,手术区域与周围皮肤质地、色泽匹配良好,周围器官无变形,病变无复发,美容效果满意。结论双侧反向菱形皮瓣是修复面部类圆形皮肤缺损的有效治疗方法,值得临床应用。Objective To explore the clinical efficacy of double opposing rhomboid flap in repairing facial skin defects.Methods From January 2020 to December 2020,30 cases of facial skin lesions were removed in the Department of Plastic and Aesthetic Surgery,the Affiliated Hospital of Qingdao University,including 12 males and 18 females,aged 14-65 years,with an average age of 34.2 years.The diameter of the facial skin defect wound was 0.5-2.0 cm.The patients with facial skin defect were repaired with double opposing rhomboid flap.All patients were followed up for 3-12 months.Results The incisions of 30 patients were healed in one stage,and double opposing rhomboid flaps survived.Following-up for 3 to 12 months showed that the operation area was flat,the incision scar was not obvious,the texture and color of the operation area and the surrounding skin matched well,the surrounding organs were not deformed,the lesions were not recurrent,and the cosmetic effect was satisfactory.Conclusions The double opposing rhomboid flap is an effective method to repair quasi-circular facial skin defects,which is worthy of clinical application.

关 键 词：面部 修复外科手术 外科皮瓣 菱形皮瓣 面部缺损 

分 类 号：R622[医药卫生—整形外科]