摘要
目的 探讨缺损区邻近穿支皮瓣修复小面积皮肤缺损的临床效果.方法 收治23例皮肤浅表肿瘤的患者,术前便携式多普勒超声仪在病灶周围探测穿支,供术中参考.尽量在皮肤松弛的部位进行探测.切除病损后皮肤缺损面积1.5 cmx2.0 cm至5.0 cmx4.0 cm,均采用缺损区邻近的穿支皮瓣修复创面.结果 23例皮瓣全部成活,切口Ⅰ期愈合.术后随访3-6个月,外观满意,肿瘤患者在随访期间未发现复发.结论 缺损区邻近穿支皮瓣修复小面积皮肤缺损,运用灵活,血供可靠,取得良好的临床效果.
Objective To introduce a method of using perforators flap adjacent to the defect to repair small sized skin defect.Methods From October 2009 to December 2013,a total of 23 cases of skin lesions were treated with perforators flap adjacent to the defect.The perforator artery was preoperatively detected with Portable Doppler in the region of relative slack skin.Skin defects with the area changed from 1.5 cmx 2.0 cm to 5.0 cmx 4.0 cm.Results All the flap survived smoothly,with pleased appearance and primary healing.Postoperative follow-up of 3 to 6 month showed no recurrence in tumor patients during the follow-up period.Conclusions Application of perforators flap adjacent to defect to repair small sized skin defect has the advantages of flexibility,reliable blood supply,which obtains good result.
出处
《中华医学美学美容杂志》
2015年第6期338-340,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
穿支皮瓣
皮肤缺损
Perforators flap
Skin defect
