摘要
五瓣成形术与七瓣成形术均利用局部有限的皮肤组织松解瘢痕挛缩。我们分别于１９８８年至１９９４年运用五瓣成形术整复瘢痕挛缩１９例，内眦赘皮７例；七瓣成形术整复瘢痕挛缩１２例，均获得满意效果。本文就手术设计、原理、操作、适应证进行比较分析，得出：①两者几何学上有区别，并认为七瓣成形术由五瓣成形术演变而来；②理论计算与临床运用表明七瓣成形术后延长率大于五瓣成形术，同样条件下七瓣成形松解瘢痕挛缩比五瓣成形彻底；③五瓣成形较适用于如腋、虎口处蹼状瘢痕，以及内眦赘皮的整复；七瓣成形较适用于“蹼”狭小的瘢痕挛缩如指蹼瘢痕挛缩及主轴需延长较多者如手指掌侧瘢痕挛缩的整复。
Both five-flap plasty and seven-flap plasty were used to relax scar contracture by limitted local tissue. We have successfully used five-flap plasty to repair 19 cases of scar contracture, 7 cases with epicanthus since 1988, and used seven-flap plasty to repair 12 caese of scar contracture since 1994. This article disscused the design, principle, procedure and indication on these two kinds of operations. The results showod that ① they are different in geometry. we consider that seven-flap plasty originates from five-flap plasty. ② the postoperative extension rate of seven-flap plasty is longer than that of five-flap plasty in theoretical calculation and clinical application. under the same condition, relaxation of scar contracture by seven-flap plasty is more thorough than by five-flap plasty. ③ five-flap plasty is better used to relax webbed scar such as axillary and first web scar, to reconstructe epicanthus. seven-flap plasty is better used to relax small and narrow webbed scar such as finger web, and to lengthen the main axis slightly such as scar contracture of finger palm.
出处
《实用美容整形外科杂志》
1997年第4期177-179,共3页
Journal of Practical Aesthetic and Plastic Surgery
关键词
七瓣成形
五瓣成形
瘢痕挛缩
应用
Five-flap plasty, Secen-flap plasty, Scar contracture
