面动脉穿支蒂V-Y推进皮瓣在老年患者中下面部皮肤肿瘤治疗中的临床应用  

The clinical application of facial artery perforating pedicle V-Y flap in the treatment of middle and lower facial skin tumors

作　　者：吴泽勇 张倩倩 史玉仓 廖思牡 胡安安 徐薇雯 蔡颖娴 李小芳 WU Zeyong;ZHANG Qianqian;SHI Yucang;LIAO Simu;HU An'an;XU Weiwen;CAI Yingxian;LI Xiaofang(Department of Plastic Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)

机构地区：[1]广东医科大学附属医院整形外科,广东湛江524001 [2]广东医科大学附属医院病理诊断与研究中心,广东湛江524001

出　　处：《中国美容整形外科杂志》2024年第11期645-648,共4页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：湛江市科技计划项目(2017A01019)。

摘　　要：目的 探讨面动脉穿支蒂V-Y推进皮瓣在老年患者中下面部肿瘤治疗中的应用。方法 回顾性分析自2017年1月至2023年12月,广东医科大学附属医院整形外科收治35例下睑、外鼻、颧部及颊部肿瘤患者,行肿瘤扩大切除后,采用面动脉穿支蒂V-Y推进皮瓣进行修复。收集并分析术后皮瓣成活率、术后并发症发生情况及患者满意度。结果 35例患者皮瓣均成活,术后出现皮瓣尖端淤血2例,并发症发生率为5.71%。术后随访3~6个月,受区皮瓣颜色、质地与周围皮肤无明显差异,患者满意率为94.29%。结论 面动脉穿支蒂V-Y推进皮瓣血供可靠,皮瓣颜色、质地与受区相似,供区代价较小,患者满意度较高,在老年患者中下面部肿瘤的治疗中具有较高的临床应用价值。Objective To investigate the application value of the facial artery perforator pedicled V-Y advancement flap in the treatment of middle and lower facial tumors in the elderly population.Methods A retrospective analysis was performed on the data of35 elderly patients who underwent extensive resection of middle and lower facial tumors and reconstruction using the facial artery perforator pedicled V-Y advancement flap from January 2017 to December 2023 in Department of Plastic Surgery,Affiliated Hospital of Guangdong Medical University.Collect their basic information,postoperative flap survival rate,incidence of postoperative complications,and patient satisfaction,and conduct retrospective analysis.Results All 35 patients'skin flaps survived,and there were 2 cases of skin flap tip bruising after surgery,with a total complication rate of 5.71%.After a follow-up period of 3 to 6 months postoperatively,there was no significant difference in the color and texture of the recipient skin flap compared to the surrounding skin.The overall patient satisfaction rate was94.29%.Conclusion The V-Y advancement flap of the perforating branch of the facial artery has reliable blood supply,similar color and texture to the recipient area,low cost in the donor area,and high patient satisfaction.It has high clinical application value in the treatment of lower facial tumors in elderly patients.

关 键 词：修复重建 面动脉 穿支皮瓣 V-Y推进皮瓣 面部肿瘤 面部缺损 

分 类 号：R739.5[医药卫生—肿瘤]