[1]王 荣,彭梦龙,詹浩东,等.V-Y推进皮瓣修复面部皮肤肿瘤切除术后缺损效果分析[J].中国美容医学,2022,(4):50-52.
　WANG Rong,PENG Menglong,ZHAN Haodong,et al.Effect of V-Y Advancing Skin Flap in Repairing Defects after Resection of Facial Skin Tumors[J].Medical Aesthetics and Beauty,2022,(4):50-52.
点击复制

V-Y推进皮瓣修复面部皮肤肿瘤切除术后缺损效果分析()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年4期
页码:
50-52
栏目:
出版日期:
2022-04-10

文章信息/Info

Title:
Effect of V-Y Advancing Skin Flap in Repairing Defects after Resection of Facial Skin Tumors
文章编号:
1008-6455（2022）04-0050-03
作者:
王 荣1; 彭梦龙1; 詹浩东2; 冯先才1
(黄冈市中心医院 1. 烧伤整形美容科;2.胸心血管外科 湖北 黄冈 438000 )
Author(s):
WANG Rong1; PENG Menglong1; ZHAN Haodong2; FENG Xiancai1
(1.Department of Burn Plastic Cosmetic; 2.Department of Thoracic and Cardiovascular Surgery,Central Hospital of Huanggang,Huanggang 438000,Hubei,China)
关键词:
面部; 皮肤肿瘤; 缺损; 修复; 推进皮瓣; 改良
Keywords:
face;  skin tumor;  defect;  repair;  advancing flap;  improvement
分类号:
R622
文献标志码:
A [
摘要:
目的：分析V-Y推进皮瓣在面部皮肤肿瘤患者术后缺损修复中的应用效果。方法：选取2016年1月-2020年2月笔者医院收治的41例面部皮肤肿瘤患者作为研究对象，依据患者缺损部位、形状、面积给予修复方案。其中，经典V-Y推进皮瓣10例，穿支V-Y推进皮瓣10例，改良V-Y推进皮瓣21例。结果：41例患者中，39例患者一期愈合，1例出现皮瓣边缘坏死，经局部修剪换药后愈合；1例出现局部切口感染，经短期换药后愈合。术后口角易位1例、睑外翻1例。随访10～37个月，40例患者面部功能恢复较好，1例患者局部复发，再次行手术切除并放疗。结论：通过V-Y推进皮瓣技术修复面部皮肤肿瘤切除术后缺损，可降低术后并发症发生率，且美观度较好。
Abstract:
Objective To analyze the effect of V-Y advanced skin flap in postoperative defect repair of patients with facial skin tumor. Methods A total of 41 patients with facial skin tumors admitted to our hospital from January 2016 to February 2020 were selected as the research objects, and the repair plan was given according to the defect location, shape and area of the patients. Among them, there were 10 cases of classical subcutaneous pedicle V-Y propelled skin flap, 10 cases of perforator branch V-Y propelled skin flap, and 21 cases of modified V-Y propelled skin flap. Results Among the 41 patients, 39 patients had primary healing, and one patient had marginal necrosis of skin flap, which healed after local pruning and dressing change. Local incision infection occurred in one patient, which healed after short-term dressing change. There was one patient of angular displacement and one patient of ectropion. After follow-up of 10 to 37 months, 40 patients had good facial function recovery, one patient had local recurrence, and underwent surgical resection and radiotherapy again. Conclusion Using V-Y advancement skin flap technology to repair the defect after facial skin tumor resection can reduce the incidence of postoperative complications and have good aesthetics.

相似文献/References:

[1]姚晓东,吴晓琰,崔晓美,等. 双极射频联合左旋维生素C治疗面部皮肤光老化疗效观察[J].中国美容医学,2018,(07):94.
　YAO Xiao-dong,WU Xiao-yan,CUI Xiao-mei,et al. The Clinical Survey of Bipolar Radiofrequency Combined with L-vitamin C in the Treatment of Facial Skin Photoaging[J].Medical Aesthetics and Beauty,2018,(4):94.
[2]文丽萍,周书帆,邓 映,等. 短波理疗联合强脉冲光治疗面部糖皮质激素依赖性皮炎临床观察[J].中国美容医学,2018,(11):36.
　WEN Li-ping,ZHOU Shu-fan,DENG Ying,et al. Clinical Observation of Desensitization Apparatus Combined with Intense PulsedLight in the Treatment of Facial Glucocorticosteroid-dependent Dermatitis[J].Medical Aesthetics and Beauty,2018,(4):36.
[3]华若岳. 重组人表皮生长因子在面部深Ⅱ度烧伤创面修复中的应用研究[J].中国美容医学,2019,(02):36.
　HUA Ruo-yue. Application of rhEGF in the Process of Facial Deep Second Degree Burn Wound Repair[J].Medical Aesthetics and Beauty,2019,(4):36.
[4]田 分. 手术联合氨基酮戊酸光动力疗法治疗皮肤肿瘤临床研究[J].中国美容医学,2019,(02):77.
　TIAN Fen. Clinical Study on Surgery Combined with Aminolevulinic Acid PhotodynamicTherapy in Skin Tumors[J].Medical Aesthetics and Beauty,2019,(4):77.
[5]陈 燕,李 生,马 明. 强脉冲光联合长脉宽Nd:YAG激光治疗面部毛细血管扩张症疗效观察[J].中国美容医学,2019,(03):54.
　CHEN Yan,LI Sheng,MA Ming. Therapeutic Effect of Intense Pulsed Light Combined with Long Pulse Width Nd:YAGLaser on Facial Telangiectasia[J].Medical Aesthetics and Beauty,2019,(4):54.
[6]战大川,赵月荣,赵振德,等. bFGF联合自体脂肪移植在面部凹陷性瘢痕治疗中的美容价值研究[J].中国美容医学,2019,(04):116.
　ZHAN Da-chuan,ZHAO Yue-rong,ZHAO Zhen-de,et al. Study on the Cosmetic Value of bFGF Combined with Autologous Fat Transplantationin the Treatment of Facial Depressed Scar[J].Medical Aesthetics and Beauty,2019,(4):116.
[7]何航远,赵小瑜,韩 未,等. 面部皮脂腺囊肿小切口摘除术的诊疗探讨[J].中国美容医学,2019,(04):128.
　HE Hang-yuan,ZHAO Xiao-yu,HAN Wei,et al. Experience in Treatment of Facial Sebaceous Cyst with Small Incision Surgery[J].Medical Aesthetics and Beauty,2019,(4):128.
[8]丛 林,杨蓉娅. 贻贝提取物护理软膏治疗面部敏感性皮肤疗效观察[J].中国美容医学,2019,(05):47.
　CONG Lin,YANG Rong-ya. Clinical Efficacy of Mussel Adhesive Protein Extractive Ointment on Facial Sensitive Skin[J].Medical Aesthetics and Beauty,2019,(4):47.
[9]刘芃祥,王文娟,郝永红,等. 皮肤镜在面部光线性角化病诊断中的应用研究[J].中国美容医学,2019,(05):50.
　LIU Peng-xiang,WANG Wen-juan,HAO Yong-hong,et al. Application of Dermoscopy in the Diagnosis of Facial Actinic Keratosis[J].Medical Aesthetics and Beauty,2019,(4):50.
[10]陈永平,王金河. 点阵铒激光联合羟基乙酸治疗面部痤疮瘢痕临床观察[J].中国美容医学,2019,(06):56.
　CHEN Yong-ping,WANG Jin-he. Clinical Efficacy of Combined Lattice Erbium Laser with Glycolic Acid Treatment of Facial Acne Scar[J].Medical Aesthetics and Beauty,2019,(4):56.
[11]倪晓静,王 坤. “风筝”皮瓣修复面部皮肤缺损的临床应用[J].中国美容医学,2018,(04):27.
　NI Xiao-jing,WANG Kun. Clinical Application of Kite Flap to Repair Facial Skin Defect[J].Medical Aesthetics and Beauty,2018,(4):27.
[12]李腾龙,张婧秋,朱慧敏,等.Burow’s楔形推进皮瓣对面部皮肤肿瘤切除术后皮肤缺损及伤口美观度的影响[J].中国美容医学,2022,(3):76.
　LI Tenglong,ZHANG Jingqiu,ZHU Huimin,et al.Evaluation of Burow’s Wedge Advanced Flap for Repairing Skin Defects after Facial Skin Tumor Resection[J].Medical Aesthetics and Beauty,2022,(4):76.

更新日期/Last Update: 2022-05-05