应用旋转滑行皮辧修复体表创面

Clinical Application of Rotation-Advancement Fasciocutaneous Flap in the Treatment of Skin Defect

目的探讨应用旋转推进皮瓣修复创面的效果。方法设计的旋转推进皮瓣根据创面的缺损直径,在缺损侧皮肤组织量较多处,以一侧为蒂做一弧线(长度为缺损面积的4倍),将皮瓣在浅筋膜层分离后向前向外弧形推进后修复创面。结果修复创面30例,皮瓣全部成活,皮瓣色泽质地和邻近正常组织相似,对周围组织无明显影响。结论旋转推进皮瓣在修复组织创面时能有效利用组织的弹性和移动性,修复效果良好,手术简单。

Objective To study the clinical effectiveness of using rotation-advancement fasciocutaneous flap in repairing tissue defect.Methods The nature contour line according to the wound diameter was made about 4 times as long as diameter.The cephalic part of the flap was harvested initially at superficial fascia and the incision was elongated to the lateral.Results There were 30 rotation-advancement fasciocutaneous flaps.The colour and texture of the flaps were excellent with satisfactory cosmetic results.All free flaps survived.Conclusion Rotation-advancement fasciocutaneous flap has advantages of simple dissection,satisfactory appearance,normal sensation and good function.It is an effective procedure in the treatment of skin defect.