CAJ | 학술논문

目的总结随意皮瓣修复眶周软组织缺损的临床经验.方法对65例患者应用随意皮瓣修复眶周软组织缺损,皮辩设计蒂宽1.0～2.5 cm,长度根据缺损范围确定,为1.0～3.5 cm,长宽比例不超过2.5:1.充分考虑到眶周各部位创口愈合后对眼睑运动功能的影响,设计尽量短小的附加切口且沿皮纹走行,同时结合患者的个性化要求,作皮瓣的合理设计和选择.结果 3例术后有不同程度的皮瓣远端或边缘出现表皮暗红及水泡现象,经积极处理后皮瓣完全恢复;其余病例皮瓣完全成活.随访8个月～2年,创口无明显瘢痕,皮瓣与周围色泽协调一致,质地柔软,弹性良好,功能理想.结论随意皮瓣是修复眶周软组织缺损的理想方法之一.
목적 총결수의피판수복광주연조직결손적림상경험.방법 대65례환자응용수의피판수복광주연조직결손,피변설계체관1.0～2.5 cm,장도근거결손범위학정,위1.0～3.5 cm,장관비례불초과2.5:1.충분고필도광주각부위창구유합후대안검운동공능적영향,설계진량단소적부가절구차연피문주행,동시결합환자적개성화요구,작피판적합리설계화선택.결과 3례술후유불동정도적피판원단혹변연출현표피암홍급수포현상,경적겁처리후피판완전회복;기여병례피판완전성활.수방8개월～2년,창구무명현반흔,피판여주위색택협조일치,질지유연,탄성량호,공능이상.결론 수의피판시수복광주연조직결손적이상방법지일.
Objective To summerize the experiences of using random flaps to reconstruct soft tissue defects of the periorbital region.Methods Periorbital soft tissue defects in 65 patients underwent reconstruction surgery by random flaps with pedicle 1.0～2.5 cm in width.The length of the flap ranged from 1.0 cm to 3.5 cm,with the rate of length to width less than 2.5:1.Detail plans on flap and incision design were made based on the aesthetic and functional problems.Results Phenomena of blister and purplish red in the edge or the distal area of the flaps were observed in 3 cases,and were disappeared after corresponding treatment.The other flaps survived and the wound healed primarily after operation.The color and the texture of the flaps matched well to the adjacent tissues with satisfied function and aesthetic Results .Conclusion Random flap is an ideal substitute to repair periorbital soft tissue defects.