摘要
目的介绍一种改良旋转皮瓣在修复皮肤软组织缺损中的应用和效果。方法自2004年10月至2006年5月,在23例患者的头面或四肢部皮肤缺损的附近,设计改良旋转皮瓣,即在逆切切口的对应处再做一“Z”字切口,周边剥离后行皮瓣旋转修复缺损,供区行“Z”字交叉缝合。结果23例患者的手术切口均Ⅰ期愈合,皮瓣全部成活。随访其中的16例患者3～19个月,术区平整,切口瘢痕不明显,功能无影响,美容效果满意。结论应用改良旋转皮瓣修复面积为1.8cm×2.0cm～5.0cm×6.0cm、近似圆形的皮肤软组织缺损,手术方法简便易行,术后效果较好。
Objective To evaluate the result of using a modified rotation flap for the reconstruction of medium -sized skin and soft tissue defect. Methods A ＂Z＂ incision was rnade at the pedide of the rotated skin flap established near the defect on the head, face or limb, and dissection under the flap was performed. This modified flap was then transferred into the defect site. From Oct 2004 to May 2006, skin defects in 23 patients were repaired with modified rotation flaps. Results Flaps in all 23 patients survived with primary healing postoperatively. Sixteen of 23 patients were followed for 3-19 months. Satisfactory cosmetic outcomes were achieved and no visible scars were observed. Conclusion The modified rotation flap is an effective way to repair skin and soft tissue defects. The size of the defects which were repaired tanged from 1.8 cm× 2.0 cm to 5.0 cm× 6.0 cm.
出处
《中国美容整形外科杂志》
CAS
2007年第2期94-95,共2页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
改良旋转皮瓣
皮肤缺损
修复
Modified rotation flap
Skin defect
Repair
