皮下组织蒂岛状皮瓣与改良菱形皮瓣修复鼻部皮肤肿瘤切除后创面的效果分析  

Effect of subcutaneous island pedicle flap and modified rhomboid flap in repairing the wound after resection of nasal skin tumor

作　　者：任忠亮 薛佳杰 高登文 高富成 孟晓敏 Ren Zhongliang;Xue Jiaje;Gao Dengwen;Gao Fucheng;Meng Xiaomin(Department of Burn,Plastic Surgery and Hand-Foot Surgery,Yulin Hospital,the First Affiliated Hospital of Xi'an Jiaotong University,Yulin 719000,China;Department of Otolaryngology,Yulin Hospital,the First Affiliated Hospital of Xi'an Jiaotong University,Yulin 719000,China)

机构地区：[1]西安交通大学第一附属医院榆林医院烧伤整形手足外科,榆林719000 [2]西安交通大学第一附属医院榆林医院耳鼻咽喉科,榆林719000

出　　处：《中国实用医刊》2024年第13期6-9,共4页Chinese Journal of Practical Medicine

摘　　要：目的:探讨皮下组织蒂岛状皮瓣与改良菱形皮瓣修复鼻部皮肤肿瘤切除后创面的效果。方法:回顾性抽取2019年5月至2022年12月西安交通大学第一附属医院榆林医院诊治的鼻部皮肤肿瘤切除后创面修复患者69例,根据修复方法将其分为A、B两组。A组35例,行皮下组织蒂岛状皮瓣修复;B组34例,行改良菱形皮瓣修复。比较两组术后6、12个月的皮瓣存活情况、色素沉着情况、肿瘤复发情况、修复效果、客观满意度评分,比较两组并发症发生率。结果:术后6、12个月时,两组受区皮瓣均存活,且术后肿瘤无复发,两组供区、受区皮肤均出现了轻微的色素沉着,但组间比较差异未见统计学意义(P>0.05);A、B两组修复效果比较差异未见统计学意义(P>0.05);A、B两组颜色、弹性程度评分比较差异未见统计学意义(P>0.05);A组平整度、瘢痕宽度评分低于B组(P<0.05)。A组并发症发生率(5.71%,2/35)与B组(8.82%,3/34)比较差异未见统计学意义(P>0.05)。结论:与改良菱形皮瓣相比,使用皮下组织蒂岛状皮瓣对鼻部皮肤肿瘤切除后创面修复的平整度、瘢痕宽度较好,患者的客观满意度较好;皮下组织蒂岛状皮瓣可用于中小面积组织缺损修复,而改良菱形皮瓣只能修复小面积缺损,临床中可根据实际情况选择。Objective:To investigate the efficacy of subcutaneous island pedicle flap and modified rhomboid flap in repairing the wound after resection of nasal skin tumor.Methods:A total of 69 patients with wounds repairment after nasal skin tumor resection in Yulin Hospital,the First Affiliated Hospital of Xi’an Jiaotong University from May 2019 to December 2022 were retrospectively selected.According to the repair method,all the patients were divided into group A and group B.Thirty-five patients in the group A were treated by repair with subcutaneous tissue pedicle island flap,and 34 patients in the group B were treated by repair with modified rhomboid flap.The skin flap survival,pigmentation,tumor recurrence,repair effect,objective satisfaction score of the two groups were compared 6 and 12 months after surgery.The incidence of complications of the two groups were compared.Results:Six and twelve months after surgery,the skin flaps of both groups were alive;no re-occurrence of tumor was found after operation;slight pigmentation occurred on the donor and recipient skin of both groups,but there was no statistically significant difference between the two groups(P>0.05).There was no statistically significant difference in the repair effect between the group A and the group B(P>0.05).There was no statistically significant difference in color and elasticity scores between the group A and the group B(P>0.05).The scores for flatness and scar width in the group A were significantly lower than those in the group B(P<0.05).There was no statistically significant difference in the incidence of complications between the group A(5.71%,2/35)and the group B(8.82%,3/34),P>0.05.Conclusions:Compared with the modified rhomboid skin flap,the subcutaneous island pedicle flap can repair the wound flatness and scar width after the resection of nasal skin tumor,and the patients have better objective satisfaction with outcome.The subcutaneous island pedicle flap is suitable for repairing small and medium-sized tissue defects,while the modified rh

关 键 词：皮瓣 皮下组织蒂岛状皮瓣 改良菱形皮瓣 鼻部皮肤肿瘤 

分 类 号：R739.62[医药卫生—肿瘤]