摘要
目的探讨局部皮瓣与改良A-T皮瓣修复术对颜面部肿瘤切除术后缺损修复的效果比较。方法选择2016年3月至2018年1月期间,行面部体表肿瘤切除术的100例患者,根据患者及家属意愿,其中50例在行面部体表肿瘤切除术后采用改良A-T皮瓣修复术修复面部缺损为研究组,50例在行面部体表肿瘤切除术后采用局部皮瓣修复面部缺损为对照组。比较两组术中术后情况,皮瓣愈合情况,瘢痕及皮肤颜色,统计两组患者术后满意度。结果两组术后拆线时间,皮瓣成活率相比差异无统计学意义(P>0.05),但研究组术后Ⅰ期愈合时间明显短于对照组(P<0.05)。对照组术后共出现5例(10.00%)不良反应,其中1例皮瓣尖端坏死,1例皮瓣血运不良,2例创面血肿,1例切口感染。观察组术后无明显不良反应或并发症显著低于对照组(P<0.05),且两组均无眉毛,眼睑,口角或鼻梁等部位出现畸形或扭曲。两组术后随访6~24个月,两组均无肿瘤复发病例,研究组术后3个月及12个月患者面部美观满意度明显高于对照组(P<0.05)。结论改良A-T皮瓣修复术对面部体表肿瘤切除术后缺损修复更具优势,减少术后不良反应,有利于提高患者对术后面部功能及美观的恢复的满意度。
Objective To investigate the analysis of modified A-T flap for repairing defects after facial surface tumor resection. Methods From March 2016 to January 2018, 100 patients who underwent facial surface tumor resection in our hospital were selected according to the wishes of the patients and their families. Among them, 50 cases were treated with modified a-t flap after facial surface tumor resection, 50 cases were treated with random flap after facial surface tumor resection, and 50 cases were treated as control group. The postoperative satisfaction of the two groups was analyzed by comparing the condition of operation and operation, the healing of skin flap, the scar and the skin color. Results There were no significant difference between the two groups in the time of thread removal and the survival rate of skin flap （ P 〉0.05）. But theⅠstage healing time in the study group was significantly shorter than that in the control group （ P 〈0.05）. In the control group, there were 5 cases （10.00 % ） adverse reactions after operation, of which 1 case was skin flap tip necrosis and 1 case was skin flap blood circulation. 2 cases had wound hematoma and 1 case had incision infection. There were no significant adverse reactions or complications in the observation group, which were significantly lower than those in the control group （ P 〈0.05）. No eyebrow, eyelid, angle of mouth or nose were abnormal or distorted in both groups. Follow up for 6 ~ 24 months after operation in both groups, there were no recurrence cases in both groups. The facial aesthetic satisfaction of the patients in the study group was significantly higher than that in the control group at 3 and 12 months postoperatively （ P 〈0.05）. Conclusion The modified A-T flap repair has more advantages in repairing the defects after resection of facial surface tumors, reduces the adverse reactions after operation, and helps to improve the patients satisfaction with the recovery of facial function and beauty after operation.
作者
胡龄之
孙中生
孟晓燕
HU Lingzhi;SUN Zhongsheng;MENG Xiaoyan(Department of Burn Plastic Surgery,the First People s Hospital of Baiyin City in Gansu Province,Baiyin 730090;Department of Plastic and Cosmetic,Guangdong Provincial Second People s Hospital,Guangzhou 510317;Department of Neurology,the First People s Hospital of Baiyin City in Gansu Province,Baiyin 730090,China)
出处
《国外医学（医学地理分册）》
CAS
2018年第3期241-243,共3页
Foreign Medical Sciences：Section of Medgeography
