中华皮肤科杂志

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随意微小皮瓣在颜面部皮肤缺损Ⅰ期修复中的应用

王焱1, 方方1, 赵亮1, 吴信峰1, 王强1, 杨诚2, 钱革1, 张国成1   

  1. 1. 中国医学科学院皮肤病医院, 南京, 210042;
    2. 安徽省五河县第二人民医院皮肤科
  • 收稿日期:2006-09-22 出版日期:2007-07-15 发布日期:2007-07-15
  • 通讯作者: 方方,email:fangf1964@yahoo.com.cn. E-mail:fangf1964@yahoo.com.cn

Application of small random pattern skin flaps in one stage repair of facial skin defects

WANG Yan1, FANG Fang1, ZHAO Liang1, WU Xin-feng1, WANG Qiang1, YANG Cheng2, QIAN Ge1, ZHANG Guo-cheng1   

  1. Department of Dermatologic Surgery, Institute of Dermatology, Chinese Academy of Medical Sciences, Nanjing 210042, China
  • Received:2006-09-22 Online:2007-07-15 Published:2007-07-15

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摘要： 目的 观察随意微小皮瓣修复颜面部皮肤外科手术后皮肤缺损的效果.方法 203例颜面部皮肤外科手术患者,在切除皮损后,根据术中缺损情况设计随意微小皮瓣Ⅰ期修复皮肤缺损.结果 完成了8种205处皮瓣Ⅰ期修复颜面部皮肤缺损.其中182例术后效果佳,面部无牵拉变形,不是你、瘢痕隐蔽21例患者术后皮瓣远端表皮坏死.形成皮瓣的部位最常见于颊部.其次是眼睑、额部、颞部、耳前、颏部、应用最多的是滑行推进皮瓣,其次是旋转皮瓣.结论 合理设计个性化随意微小皮瓣Ⅰ期修复颜面部小面积皮肤缺损.可获满意疗效和美容效果.

关键词: 外科皮瓣, 伤口愈合, 颜面皮肤缺损

Abstract: Objective To explore the effects of small random pattern skin flaps in one stage repair of facial skin defects in dermatologic surgery.Methods Specific small random pattern skin flaps were designed for the one stage repair of facial skin defects in 203 patients after the resection of their lesions.Results A total of 8 kinds and 205 pieces of small random pattern skin flaps were successfully designed and applied in one stage repair of facial skin defects.Of all patients,182 achieved excellent effects with a concealed scar left but without facial deformation,21 experienced epidermal necrosis in the distal end of skin flaps.The most widely used were sliding advancement skin flaps,followed by rotation skin flaps.The predilection sites for the formation of skin flaps in decreasing order were bucca,followed by eyelids,foreheads,tempus, preauricular and mandible regions.Conclusion Reasonable design of small random pattern skin flaps may result in satisfying therapeutic and cosmetic effects for one stage repair of facial skin defects.

Key words: Surgical flaps, Wound healing, Facial skin defect