应用旋转皮瓣修复鼻唇部皮肤缺损的手术技巧和术式探讨  

Discussion on Surgical Techniques and Methods for Repairing Skin Defects of Nose and Lip with Rotating Flaps

作　　者：郭建滨 郑敏 吕燕 GUO Jianbin;ZHENG Min;LYU Yan(Department of Plastic Surgery,Shantou Mosaic Medical Beauty Clinic,Shantou 515041,Guangdong,China)

机构地区：[1]汕头悦美荟医疗美容门诊部整形外科,广东汕头515041

出　　处：《中国美容医学》2024年第1期32-36,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用旋转皮瓣修复鼻唇部皮肤缺损的手术技巧和术式。方法:选择2020年4月-2022年4月笔者医院门诊部收治的鼻唇部皮肤缺损患者90例,根据患者治疗意愿分为旋转皮瓣组、推进皮瓣组和“Z”形皮瓣组三组,各30例,分别给予旋转皮瓣、推进皮瓣和“Z”形皮瓣修复。分析各组患者皮瓣成活情况、瘢痕情况、疗效及外形、疼痛总分与疼痛强度、生活质量和心理状态以及并发症发生率和满意度。结果:三组患者皮瓣成活情况、瘢痕情况、疗效及外形、疼痛总分与疼痛强度、生活质量和心理状态以及并发症发生率和满意度比较,差异有统计学意义(P<0.05)。旋转皮瓣组患者总体满意度为100.00%,而推进皮瓣组和“Z”形皮瓣组患者的总体满意度仅为86.67%和80.00%;且旋转皮瓣组患者皮瓣成活率、疗效及外形得分均较其他组高(均P<0.05),而疼痛强度评分和并发症发生率较其他组低(P<0.05),患者鼻唇部皮肤缺损得到了较好的治愈。结论:修复鼻唇部皮肤缺损手术方式繁多且各有优缺点,通过正确地选用术式并强调手术中操作技巧可以取得更加理想的手术效果。旋转皮瓣修复鼻唇部皮肤缺损方面效果显著。Objective To explore the surgical techniques and methods for repairing skin defects of the nose and lip with rotating flaps.Methods A total of 90 patients with naso-lip skin defects admitted to the outpatient department of the author's hospital from April 2020 to April 2022 were selected.According to the patient's treatment intention,they were divided into three groups,the rotating skin flap group,the advancing skin flap group,and the Z-shaped skin flap group,with 30 cases in each group,and were respectively given the rotating skin flap,advancing skin flap,and Z-shaped skin flap for repair.The survival rate of skin flaps,scar status,efficacy and appearance,total pain score and pain intensity,quality of life,psychological status,complications,and satisfaction of patients in each group were analyzed.Results There were significant differences among the three groups in terms of flap survival,scar status,efficacy and appearance,total pain score,pain intensity,quality of life,psychological status,complications,and satisfaction(P<0.05),with statistical significance.The overall satisfaction rate of patients in the rotating flap group was 100.00%,while the overall satisfaction rate of patients in the advancing flap group and the Z-shaped flap group was only 86.67%and 80.00%.In addition,the survival rate,efficacy,and appearance of the flap in the rotary flap group were higher than those in the other groups(all P<0.05),while the degree of pain and complications were lower than those in the other groups(P<0.05).The nasal and labial skin defects of the patients were better cured.Conclusion There are various surgical methods for repairing the skin defects of the nose and lip,with their respective advantages and disadvantages.By selecting the correct surgical methods and emphasizing the operational skills during the operation,more ideal surgical results can be achieved.The effect of rotating flap in repairing skin defects of nose and lip is significant.

关 键 词：旋转皮瓣 鼻平面 鼻唇部皮肤缺损 手术技巧 术式探讨 

分 类 号：R622[医药卫生—整形外科]