摘要
目的观察双叶皮瓣修复鼻尖部继发皮肤软组织缺损的临床疗效。方法2015年1月—2020年1月解放军总医院皮肤科门诊45例鼻尖肿物切除后继发皮肤软组织缺损患者,鼻尖部继发组织缺损面积约1.0 cm×1.0 cm~2.0 cm×2.0 cm大小。于缺损周围正常皮肤设计双叶皮瓣,用双叶瓣的小叶修复大叶缺损,将大叶旋转、推进修复鼻尖肿物切除后继发的组织缺损。结果45例患者术后皮瓣全部成活,仅1例术后切口轻度感染,经换药治疗后达Ⅰ期愈合,无皮瓣坏死等并发症发生。术后随访3~24个月,瘢痕轻微,鼻部形态完整,效果满意。结论双叶皮瓣是修复鼻尖肿物切除后继发缺损的理想方法,手术风险小,患者满意度高。
Objective To observe the clinical effect of bilobed flaps on the repairing of the nasal tip soft tissue defect.Method From Jan 2015 to Jan 2020,forty-five cases of the bilobed flap were used to repair the nasal tip soft tissue defect after tumor resection,the range of defect from 1.0 cm×1.0 cm~2.0 cm×2.0 cm,bilobed flap designed around the normal skin nearby the defect,with the leaflet of bileaflet repairing the lobar defect,the leaf rotated and propulsed to repair of nasal tip tissue defects.Results Forty-five patients survived 100%of the bilobed flaps,and only one patient with light incision infection,after the dressing up to healing,with no flap necrosis and other complications.The postoperative follow-up ranged from 3 months to 24 months,with a slight scar,nasal morphology,and satisfactory effect.Conclusion Bilobed flap is an ideal method to repair the nasal tip defect after tumor resection of primary surgery.
作者
郝永红
李承新
任丹
冯铮
赵梓纲
HAO Yong-hong;LI Cheng-xin;REN Dan(Department of Dermatology,PLA General Hospital,Beijing 100853,China)
出处
《实用皮肤病学杂志》
2022年第6期364-366,共3页
Journal of Practical Dermatology
关键词
肿物
鼻尖
皮肤缺损
修复
双叶皮瓣
Neoplasm,nasal tip
Defect,soft tissue
Repair,bilobe flaps
