皮下蒂皮瓣对面部肿瘤软组织病损切除术后创面修复患者皮瓣存活及创面恢复的疗效  

Efficacy of Subcutaneous Tibial Flap on Flap Survival and Wound Recovery in Patients Undergoing Trauma Repair After Resection of Facial Tumour Soft Tissue Lesions

作　　者：李顺海 李阳 LI Shunhai;LI Yang(Department of Medical Aesthetics,Mengyin County People's Hospital,Linyi 276299,China;Department of Anaesthesia,Mengyin County People's Hospital,Linyi 276299,China)

机构地区：[1]蒙阴县人民医院医疗美容科,临沂276299 [2]蒙阴县人民医院麻醉科,临沂276299

出　　处：《中国医药指南》2024年第16期16-18,共3页Guide of China Medicine

摘　　要：目的 分析皮下蒂皮瓣用于面部肿瘤软组织病损切除术后创面修复的效果。方法 选取2020年1月至2023年6月蒙阴县人民医院收治的面部肿瘤软组织病损切除术后创面修复患者60例,按照抽签法随机分为两组,各30例。对照组接受传统V-Y皮瓣修复,观察组接受皮下蒂皮瓣修复,比较不同创面修复措施的效果。结果 观察组修复优良率高于对照组(93.33%vs.70.00%,P=0.020)。观察组皮瓣存活率高于对照组(90.00%vs.66.67%,P=0.028)。观察组皮瓣长度[(3.22±0.45)cm vs.(2.79±0.41)cm,P <0.001]和皮瓣宽度[(5.26±0.42)cm vs.(4.56±0.46)cm,P <0.001]多于对照组。观察组修复后创面色泽、质地、美观度及功能评分均高于对照组(均P <0.001)。观察组并发症总发生率低于对照组(3.33%vs.27.59%,P=0.026)。观察组满意度高于对照组(100%vs.80.00%,P=0.031)。结论 经皮下蒂皮瓣修复可有效提高皮瓣生存率,减少并发症发生,促使患者创面修复,其效果确切,且安全性较高,对预后改善有重要意义,患者接受度较高。Objective To analyse the efficacy of subcutaneous tibial flap for postoperative wound repair after resection of facial tumour soft tissue lesions.Methods A total of 60 patients with postoperative trauma repair after resection of facial tumour soft tissue lesions admitted to the People's Hospital of Mengyin County from January 2020 to June 2023 were selected and randomly divided into two groups of 30 patients each according to the lottery method.The control group received traditional V-Y flap repair,and the observation group received subcutaneous tibial flap repair,comparing the effects of different trauma repair measures.Results The excellent rate of repair in the observation group was higher than that in the control group(93.33% vs.70.00%,P=0.020).The flap survival rate of the observation group was higher than that of the control group(90.00% vs.66.67%,P=0.028).The flap length [(3.22±0.45) cm vs.(2.79±0.41) cm,P<0.001] and flap width [(5.26±0.42) cm vs.(4.56±0.46) cm,P<0.001]were more in the observation group than in the control group.The colour,texture,aesthetics and functional scores of the repaired wounds in the observation group were higher than those in the control group(all P<0.001).The total complication rate of the observation group was lower than that of the control group(3.33% vs.27.59%,P=0.026).Satisfaction was higher in the observation group than in the control group(100% vs.80.00%,P=0.031).Conclusions Transcutaneous subcutaneous tibial flap repair can effectively improve the survival rate of the flap,reduce the occurrence of complications,and promote the repair of the patient's trauma,and its effect is accurate and safe,which is of great significance for the improvement of the prognosis,and the patient's acceptance is high.

关 键 词：皮下蒂皮瓣 面部肿瘤 软组织病损切除 创面修复 皮瓣存活 创面恢复 

分 类 号：R622[医药卫生—整形外科]