[1] 王 凌,华 栋,吴苏州,等. 局部任意皮瓣修复头面部皮肤恶性肿瘤切除后创面效果研究[J].中国美容医学,2020,(7):74-76.
　 WANG Ling,HUA Dong,WU Su-zhou,et al. Study on the Effect of Local Arbitrary Skin Flap to Repair the Wounds after theResection of Head and Face Skin Malignant Tumor[J].Medical Aesthetics and Beauty,2020,(7):74-76.
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 局部任意皮瓣修复头面部皮肤恶性肿瘤切除后创面效果研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年7期
页码:
74-76
栏目:
出版日期:
2020-07-10

文章信息/Info

Title:
 Study on the Effect of Local Arbitrary Skin Flap to Repair the Wounds after the
Resection of Head and Face Skin Malignant Tumor
文章编号:
1008-6455（2020）07-0074-03
作者:
 王 凌; 华 栋; 吴苏州; 方小魁; 倪韬略; 操瑞昌; 何 萍
Author(s):
 WANG Ling; HUA Dong; WU Su-zhou; FANG Xiao-kui; NI Tao-lue; CAO Rui-chang; HE Ping
关键词:
 [关键词]皮肤恶性肿瘤; 头面部; 局部任意皮瓣; 缺损修复; 情绪状态; 美观度
Keywords:
 Key words: skin malignant tumor;  head and face;  local arbitrary fl ap;  defect repair;  emotional state;  aesthetic degree
分类号:
R739.5
文献标志码:
A
摘要:
[摘要]目的：分析局部任意皮瓣修复头面部皮肤恶性肿瘤彻底切除后创面的效果。方法：回顾总结2017年7月-2019年7月笔
者医院皮肤科收治的头面部皮肤恶性肿瘤切除术后行局部任意皮瓣修复手术80例患者临床资料，对患者修复总有效率进行统
计，并比较修复前和修复半年后创面色泽、美观度、功能、情绪状态评分和复发率情况。结果：80例头面部皮肤恶性肿瘤患
者，修复总有效率为95.00%（76/80）。修复后，患者创面色泽评分、美观度评分、功能评分较修复前均升高，患者90项症
状自评（Symptom check list-90，SCL-90）心理因子评分、焦虑自评量表（Self-rating anxiety scale，SAS）和抑郁自
评量表（Self-rating depression scale，SDS）评分较修复前均降低，差异均有统计学意义（P ＜0.05）。术后随访半年，
复发率为2.50%（2/80）。结论：局部任意皮瓣用于头面部皮肤恶性肿瘤切除术后创面修复，能显著改善患者面部美观度和
功能状态，且移植皮瓣色泽更好，效果持久性更好，术后复发少，患者心理状态佳。

Abstract:
Abstract: Objective To analyze the effect of local arbitrary skin flap on the wound surface of the head and face after the
complete resection of large area of malignant skin tumors. Methods Review between July 2017 and July 2019 of fi rst admitted
in our hospital dermatological department initiated local skin fl ap to repair any facial skin malignant tumor resection surgery
clinical data of 80 patients, for patients to repair for statistical total effective rate, and repair the wound after half a year before
color, aesthetic, functional evaluation, emotional state and repair the recurrence rate after half a year. Results The total effective
rate was 95.00% (76/80). After repair, the wound color score, aesthetic score and functional score of the patients were
higher than those before repair, and the scores of SCL-90, SAS and SDS were decreased, the differences were statistically
signifi cant(P ＜0.05). The patients were followed up for half a year, the recurrence rate was 2.50% (2/80). Conclusion Local
arbitrary skin fl ap used for wound repair after resection of malignant tumor of head and face can signifi cantly improve the facial
beauty and functional state of patients, and the transplanted skin fl ap has better color, better lasting effect, less postoperative
recurrence and good psychological state of patients.

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[1]方明松,席庆春,李 旋,等.局部皮瓣在修复头面部皮肤肿瘤切除后软组织缺损中的应用探讨[J].中国美容医学,2018,(06):16.
　FANG Ming-song,XI Qing-chun,LI Xuan,et al.Application of Local Skin Flap in Repairing Soft Tissue Defects after Resection of Head and Facial Skin Tumors[J].Medical Aesthetics and Beauty,2018,(7):16.
[2]赵亚楠,康晓静,于世荣,等. 头面部皮肤恶性肿瘤及癌前病变手术切除和创面修复的方法探讨[J].中国美容医学,2018,(12):28.
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　GAO Jing,LI Zhujun,YU Nanze,et al.Influence of Positioning Device on the Consistency of Facial Medical Photography[J].Medical Aesthetics and Beauty,2024,(7):33.

更新日期/Last Update: 2020-07-22