扩张胸三角皮瓣修复头面部皮肤软组织缺损的效果分析<br />-《中国美容医学》

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Title:: Effect of Expanded Thoracic Triangle Skin Flap on Repairing Skin and Soft Tissue
Defects in Head and Face

文章编号:: 1008-6455（2019）04-0135-03

作者:: 郭鱼¹; 岑瑛¹; 高智雍²; 刘亚兰²

Author(s):: GUO Yu1; CEN Ying1; GAO Zhi-yong2; LIU Ya-lan2

关键词:: [关键词]胸三角皮瓣; 组织扩张术; 游离皮片; 皮肤软组织缺损; 头面部

Keywords:: Key words: thoracic triangular flap; tissue expansion; free skin; skin and soft tissue defects; head and face

分类号:: R622

文献标志码:: A

摘要:: [摘要]目的：探讨扩张后胸三角皮瓣修复头面部皮肤软组织缺损的效果。方法：选取2014年1月-2017年1月头面部皮肤软组
织缺损患者72例，根据患者最终选取的治疗方案，分为观察组（n =31）和对照组（n =41），观察组给予扩张后胸三角皮瓣修
复，对照组给予游离皮片移植修复，观察两组术后皮肤挛缩率、满意度、视觉模拟评分（visual analogue score, VAS）
以及并发症发生情况。结果：观察组术后3个月、6个月和12个月皮肤挛缩率分别为（1.91±0.23）%、（4.31±1.01）%
和（6.78±0.92）%，明显低于对照组[（2.38±0.30）%、（6.80±0.94）%、（8.10±1.22）%]，差异有统计学意义
（P ＜0.05）。观察组术后皮肤色泽满意率和皮肤弹性质地满意率分别为87.10%和90.32%，明显高于对照组（63.41%、
65.85%），差异有统计学意义（P ＜0.05）。两组术前及术后3d、14d VAS评分比较差异无统计学意义（P ＞0.05）；观察组
和对照组术后并发症发生率差异比较无统计学意义（P ＞0.05）。结论：扩张后胸三角皮瓣修复头面部皮肤软组织缺损有较
好效果，值得临床应用。

Abstract:: Abstract: Objective To explore the effect of expanded deltopectoral flap for repair of facial skin and soft tissue defect. Methods
72 cases of skin and soft tissue defects in the facial from January 2014 to January 2017 were selected, according to the patients’
final treatment, the patients were divided into the observation group (n =31) and the control group (n =41), the observation group
was treated with expanded deltopectoral flap, the control group was given free skin graft repair, the rate of skin contracture,
satisfaction, visual analogue score (VAS) and complications in the two groups were observed. Results The skin contracture
rate in the observation group at 3 months, 6 months and 12 months after operation were (1.91±0.23)%, (4.31±1.01)% and
(6.78±0.92)%, which were significantly lower than those in the control group[(2.38±0.30)%,(6.80±0.94)%,(8.10±1.22)%],
the differences were statistically significant(P ＜0.05). The satisfaction rate of skin color and skinelasticity and textureof the
observation group were 87.10% and 90.32%, which were significantly higher than those in the control group(63.41%, 65.85%,
P ＜0.05). There were no significant difference in the VAS scores at before operation, 3d and 14d after the operation between
the two groups(P ＞0.05). There was no significant difference in the incidence of postoperative complications between the two
groups (P ＞0.05). Conclusion Expanded deltopectoral flap for repair of facial skin and soft tissue defect has good effect,
worthy of clinical use.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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