摘要
目的 探讨面中部皮肤肿瘤切除后采用面动脉穿支筋膜蒂皮瓣修复缺损的临床应用价值。方法 选取2019年1月—2021年12月于蚌埠医学院第一附属医院整形烧伤科治疗的40例面中部皮肤肿瘤患者,根据术中切除肿瘤后遗留创面的大小及位置分为观察组和对照组,每组各20例,观察组行面动脉穿支筋膜蒂皮瓣修复术,而对照组行传统皮瓣修复术,比较2组患者皮瓣修复后皮瓣的色泽评分、美观度评分、功能评分、术后瘢痕宽度、瘢痕弹性、瘢痕的平整度、瘢痕颜色以及术后6个月患者的效果满意度。结果 观察组患者术后6个月在皮瓣的色泽评价(7.54±0.17)、美观评价(7.85±1.17)以及功能评价(8.20±0.89)评分方面均高于对照组患者术后6个月在皮瓣的色泽评价(4.85±1.73)、美观评价(5.23±1.50)以及功能评价(6.00±0.93),均P<0.05;观察组患者在瘢痕宽度(0.40±0.13)、瘢痕弹性(0.33±0.12)以及瘢痕平整度(0.24±0.09)以及瘢痕颜色评分(0.20±0.06)方面低于对照组在瘢痕宽度(0.58±0.18)、瘢痕弹性(0.57±0.13)、瘢痕平整度(0.38±0.16)以及瘢痕颜色评分(0.36±0.08);观察组的总体满意度(95%)高于对照组(65%);差异均有统计学意义(P<0.05)。结论 在面部皮肤肿瘤术后组织缺损皮瓣修复手术中,相较于传统的任意皮瓣修复术,面动脉穿支筋膜蒂皮瓣修复术可使患者在术后外形及功能方面获得更大的满意度,具有较高的临床应用价值。
Objective To investigate the clinical application value of using facial artery perforator fasciocutaneous pedicle flap to repair defects after resection of mid-facial skin tumors.Methods A total of 40 patients with mid-facial skin tumors treated in the Department of Plastic Burns of the First Affiliated Hospital of Bengbu Medical College from January 2019 to December 2021 were divided into observation group and control group according to the size and location of the wounds left after intraoperative tumor resection,with 20 cases in each group.The observation group underwent facial artery perforator fasciocutaneous pedicle flap repair,while the control group underwent traditional flap repair.The color score,aesthetics score,function score,post-operative scar width,scar elasticity,and skin flap after flap repair,scar color,and patient satisfaction at 6 months post-operation were compared between the two groups.Results The color evaluation(7.54±0.17),aesthetic evaluation(7.85±1.17)and functional evaluation(8.20±0.89)of the flap in the observation group were higher than those in the control group[(4.85±1.73),(5.23±1.50)and(6.00±0.93)]6 months after surgery(P<0.05).The scar width(0.40±0.13),scar elasticity(0.33±0.12),scar flatness(0.24±0.09)and scar color score(0.20±0.06)in the observation group were lower than those in the control group[(0.58±0.18),(0.57±0.13),(0.38±0.16)and(0.36±0.08)].The overall satisfaction in the observation group(95%)was higher than that in the control group(65%),with statistically significant(all P<0.05).Conclusion Compared with traditional arbitrary flap repair,facial artery perforator fasciocutaneous pedicle flap repair can achieve greater satisfaction in postoperative appearance and function,and has high clinical application value.
作者
宋培军
李旭文
李薇
王怀谷
霍继武
张硕
徐静
SONG Peijun;LI Xuwen;LI Wei;WANG Huaigu;HUO Jiwu;ZHANG Shuo;XU Jing(Department of Plastic and Burn,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233004,China)
出处
《中华全科医学》
2023年第4期576-580,共5页
Chinese Journal of General Practice
基金
安徽高校自然科学研究项目(KJ2019A0374)
安徽高校协同创新项研究项目(GXXT-2020-021)。
关键词
面动脉穿支筋膜蒂皮瓣
肿瘤
组织缺损
Facial artery perforator fasciocutaneous pedicle flap
Tumor
Tissue defect
