改良DuFourmental皮瓣在面部皮肤软组织缺损修复中的应用及疗效

Defects repairing with reform DuFourmental flap of skin and soft tissue defects in the application

目的探讨改良DuFourmental皮瓣在面部皮肤软组织缺损修复整形术中的应用及效果评价。方法回顾分析22例面部皮肤软组织缺损患者临床资料,缺损直径1～8 cm,均采用DuFourmental皮瓣设计原理并结合面部美容术切口隐蔽的原则加以改良,选择靠近隐蔽区域制作皮瓣,将制作的皮瓣转移至缺损区缝合修复面部创面。结果采用改良的DuFourmental皮瓣封闭创面平整,组织张力小,皮瓣成活良好,部分切口隐蔽效果好。恢复1年后面部瘢痕及切口均不明显,局部外形美观。结论改良DuFourmental皮瓣是修复面部皮肤软组织缺损的一种有效的整形手段,能够保证对面部缺损修复后的美容效果。

Objective To investigate the efficaey of using reformative DuFourmental flap to treat soft tissue defects of skin in clinical experience.Methods Twenty-two cases of skin and soft tissue defects,the diameter of wound area was from 1cm to 8 cm.Instead of using DuFourmental flap to treat soft tissue defects,the soft tissue defects of this group of patients whose diseased skin tissue were not directly sutured.Along the incision line skin incision to subcutaneous tissue,the removal of diseased tissue,loosen the shaded area.Flap CDEF transferred to the defect,D point to point B,E point to point A,F point to D point stitching.Results Reformative DuFourmental flap wound closure,wound repair to Phase I,all flaps survived well,no complications occurred.By-1-year-follow up,scar is not obvious,the local appearance is satisfaction.Conclusion Reformative DuFourmental flap produced a single cylinder,reliable blood supply,is to repair soft tissue defects of a good way.