摘要
目的 探讨扩张胸三角穿支皮瓣游离移植修复大面积面部瘢痕切除后创面的临床效果.方法 对20例大面积面部瘢痕患者,I期行胸三角区皮肤扩张术,4～6个月胸三角皮瓣扩张充分后行Ⅱ期手术,切除面部瘢痕,以胸廓内动脉第2或第3穿支皮瓣吻合受区面动、静脉,覆盖创面.结果 20例24个扩张胸三角穿支皮瓣移植后全部成活.6个月至2年的随防显示,皮瓣色泽和质地与受区皮肤匹配良好,皮瓣组织质地柔软有弹性,局部无臃肿,皮肤感觉恢复快.结论 采用扩张的胸三角穿支皮瓣游离移植修复面部大面积瘢痕,安全可行,避免了传统带蒂转移手术次数多、带蒂转移后固定时间长、扩张皮瓣浪费等诸多缺点,可获得理想的功能恢复和美学效果.
Objective To investigate the effect of expanded deltopectoral perforator flap as a free skin flap for distant transfer to aesthetically repair large facial scars via microsurgical technique.Methods 20 cases of large facial scars were treated with free expanded deltopectoral skin flaps via microsurgical technique.At the first stage,24 large volume expanders were inserted into the subcutaneous pockets in the deltopectoral zone.4 to 6 months later,the second stage operation was performed when the flaps were expanded fully and facial scars removed;deltopectoral perforator flaps harvested choosing the second or the third thoracic artery perforating branches as the pedicle;the surface of the wound was covered with the flaps.Results All of the 24 flaps survived completely and the wounds healed well after transplantation.The 6 months to 2 years＇ follow-up results showed that the color and texture of the flaps matched the recipient place well without swelling.The superficial and deep sensation recovered very fast.Conclusions It is safe,practical and effective that the delto-pectoral perforator flaps are used to repair large facial scars avoiding the shortcomings of traditional pedicle transfer such as more procedures,longer fixed time,or more wasted expanded skin.Free transfer of expanded delto-pectoral perforator flaps can achieve ideal function and aesthetic effects.
出处
《中华医学美学美容杂志》
2015年第3期136-138,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
