摘要
目的:探讨局部皮瓣一期修复头面颈部皮肤肿瘤切除后缺损的效果。方法:2006年1月～2010年12月收治155例头面颈部皮肤肿瘤病例,采取将肿瘤及其边缘0.1～3cm正常组织一起切除并彻底清创的方法,综合考虑创面的性质、部位、大小等因素,设计局部皮瓣一期修复切除后遗留的创面,术后随访期6个月～2年。结果:本组155例患者的切口均I期愈合,皮瓣全部成活。术后随访6个月～2年,形态、功能良好,瘢痕不明显,无并发症,效果满意。结论:采用局部皮瓣I期修复头面颈部皮肤软组织缺损(大小2.0cm×1.5cm～7.0cm×4.0cm),手术简单易行、适应证广、疗效较好,是比较理想的方法。
Objective To investigate the effect and advantage of using local skin flap for the reconstruction of medium-sized skin and soft tissue defect.Methods From January 2006 to December 2010,Skin and soft tissue defect on the head,face or neck in 155 patients were repaired with local skin flaps,according to the lesion type,location,and size,tumors were excised including the 0.1 to 3cm normal tissue around the tumor and the wounds were debrided completely.The defects were immediately repaired by using local skin flap.After operation,all patients were persevered to follow up for 6 months to 2 years.Results Flaps in all155 patients survived with primary healing postoperatively.All patients were followed for 6 months to 2 years,the postoperative contour and function was satisfactory.No complication occurred.All patients were satisfied with the cosmetic appearance.Conclusion The local skin flap is an effective way to repair skin and soft tissue defect on the head,face or neck.The size of the defect which were repaired ranged from 2.0cm×1.5cm to 7.0cm×4.0cm.Operation is simple,indication is extensive and results are satisfactory.
出处
《中国美容医学》
CAS
2011年第10期1508-1510,共3页
Chinese Journal of Aesthetic Medicine
关键词
头面颈部
皮肤肿瘤
皮瓣
皮肤缺损
修复
scalp and face or neck
skin tumor
flap
skin defect
repair
