中国医疗美容
中國醫療美容
중국의료미용
China Medical Cosmetology
2014年
2期
84-85
,共2页
周海%邵家松%花鸣春%张敏
週海%邵傢鬆%花鳴春%張敏
주해%소가송%화명춘%장민
外科%皮瓣%整形%唇外科
外科%皮瓣%整形%脣外科
외과%피판%정형%진외과
surgery,flap%surgery,plasty%lip surgery
目的:观察改良菱形皮瓣修复唇周皮肤缺损的效果。方法:近5年来我科应用改良菱形皮瓣修复唇周病变切除后皮肤缺损50例。修复缺损创面大小直径3~30mm。结果:所有皮瓣均一期愈合。应用改良菱形皮瓣修复5mm以下唇周皮肤缺损时,皮瓣的切取、缝合稍有困难;靠近唇缘的皮肤缺损在5~20mm时,改良菱形皮瓣的旋转、缝合较容易,且术后唇、鼻无继发畸形;超过20mm的皮肤缺损,尤其是上唇,用改良菱形皮瓣修复后可出现轻微的唇、鼻畸形。结论:改良菱形皮瓣在唇周中等大小皮肤缺损的修复具有明显优势。
目的:觀察改良蔆形皮瓣脩複脣週皮膚缺損的效果。方法:近5年來我科應用改良蔆形皮瓣脩複脣週病變切除後皮膚缺損50例。脩複缺損創麵大小直徑3~30mm。結果:所有皮瓣均一期愈閤。應用改良蔆形皮瓣脩複5mm以下脣週皮膚缺損時,皮瓣的切取、縫閤稍有睏難;靠近脣緣的皮膚缺損在5~20mm時,改良蔆形皮瓣的鏇轉、縫閤較容易,且術後脣、鼻無繼髮畸形;超過20mm的皮膚缺損,尤其是上脣,用改良蔆形皮瓣脩複後可齣現輕微的脣、鼻畸形。結論:改良蔆形皮瓣在脣週中等大小皮膚缺損的脩複具有明顯優勢。
목적:관찰개량릉형피판수복진주피부결손적효과。방법:근5년래아과응용개량릉형피판수복진주병변절제후피부결손50례。수복결손창면대소직경3~30mm。결과:소유피판균일기유합。응용개량릉형피판수복5mm이하진주피부결손시,피판적절취、봉합초유곤난;고근진연적피부결손재5~20mm시,개량릉형피판적선전、봉합교용역,차술후진、비무계발기형;초과20mm적피부결손,우기시상진,용개량릉형피판수복후가출현경미적진、비기형。결론:개량릉형피판재진주중등대소피부결손적수복구유명현우세。
Objective:To observe the effect of reconstruction of skin defect near lip with modified rhomboid flap. Methods:Reviewing the 50 cases under the application of modified rhomboid flap for repairing skin defects near lip in recent 5 years. The defect sizes were from 3 mm to 30 mm in diameter. Results:All flaps survived with primary healing. There are some difficulties in cutting and suturing modified rhomboid flap, when the skin defect near lip was being repaired, as the diameter of skin defect is less than 5 mm. As skin defect in size from 5 mm diameter to 20 mm, it is easy to remove and to suture. The lip and the nose do not become abnormally after surgery. As the size of defect exceed 20 mm diameter, particularly lay on upper lip, it could make the lip and nose to be slight abnormal. Conclusion:Modified rhomboid flap has obvious advantages in the medium-sized skin defect near lip.