岛状皮瓣在大面积面部软组织皮肤缺损美容修复中的应用价值分析  

Application value of island flap in cosmetic repair of large facial soft tissue skin defects

作　　者：徐功志 吕璐 毛水红 张家鹏 Xu Gong-zhi;Lv Lu;Mao Shui-hong;Zhang Jia-peng(Department of Wound Repair,Xinxiang Second People's Hospital,Xinxiang 453000,Henan,China)

机构地区：[1]新乡市第二人民医院创面修复科,河南新乡453000

出　　处：《四川生理科学杂志》2024年第2期375-377,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:探究岛状皮瓣在大面积面部软组织皮肤缺损美容修复中的应用价值。方法:回顾性分析2021年1月至2021年12月期间,本院收治的大面积面部软组织皮肤缺损美容修复患者共计80例,根据修复方法的不同分为常规修复组(n=36)以及改良修复组(n=44),常规修复组接受游离皮瓣修复术;改良修复组接受岛状皮瓣修复术。于术后7 d评估两组面部软组织修复治疗的总有效率;采用视觉模拟评分(Visual analogue scale,VAS)评估术后疼痛程度;采用毛细血管反应时间、术后皮瓣温度评估术后皮瓣修复效果;记录总住院时间;于术后14 d比较面部活动度评分、肌力评分、感觉评分、外形评分。结果:改良修复组的治疗总有效率为95.45%,显著高于常规修复组的80.56%(P<0.05);另外改良修复组的VAS评分、毛细血管反应时间短于常规修复组(P<0.05),且修复后皮瓣温度、活动度评分、肌力评分、感觉评分、外形评分均高于常规修复组,差异有统计学意义(P<0.05);两组术后住院时间无显著差异(P<0.05)。结论:岛状皮瓣在大面积面部软组织皮肤缺损修复中应用效果良好,且面部功能、感觉恢复情况更优。Objective:To explore the application value of island flap in the cosmetic repair of large facial soft tissue skin defects.Methods:A total of 80 patients with large facial soft tissue skin defects undergoing cosmetic repair in the hospital were retrospectively analyzed between January and December 2021.According to different cosmetic repair methods,they were divided into routine repair group(n=36,free flap)and modified repair group(n=44,island flap).At 7 d after surgery,total response rates of treatment in the two groups were evaluated.The postoperative pain was assessed by visual analogue scale(VAS).The postoperative repair effect of flaps was evaluated by capillary response time and postoperative flap temperature.The total hospitalization time was recorded.At 14 d after surgery,scores of facial motion,muscle strength,sensation and appearance were evaluated and compared.Results:The total response rate of treatment in modified repair group was significantly higher than that in routine repair group(95.45%vs 80.56%,P<0.05).VAS score and capillary response time in modified repair group were shorter than those in routine repair group(P<0.05),skin flap temperature and scores of facial motion,muscle strength,sensation and appearance were higher than those in routine repair group(P<0.05).There was no significant difference in postoperative hospitalization time between the two groups(P>0.05).Conclusion:Island flap has good repair effect in large facial soft tissue skin defects,and has better recovery of facial function and sensation.

关 键 词：面部软组织皮肤缺损 岛状皮瓣 腹部带蒂皮瓣 修复 应用价值 

分 类 号：R622[医药卫生—整形外科]