改良菱形皮瓣在面部基底细胞癌手术缺损修复中的临床应用效果

Effect of Modified Diamond Flap in Surgical Defect Repair of Facial Basal Cell Carcinoma

目的研究改良菱形皮瓣在面部基底细胞癌手术缺损修复中的临床应用效果。方法选取面部基底细胞癌96例,根据随机数字表法分为常规组(n=48)和联合组(n=48),常规组进行肿瘤切除术后使用常规植皮修复,联合组进行肿瘤切除术后使用改良菱形皮瓣缺损修复术。对比2组围术期变化、疼痛程度、瘢痕变化、面部修复效果、满意评分、并发症变化。结果与常规组相比,联合组切口长度、皮肤缺损面积较小,且创面愈合时长较短(P<0.05);与常规组相比,治疗后联合组疼痛程度、瘢痕变化分数较低(P<0.05);与常规组相比,联合组色泽、功能、美观度分值较高(P<0.05);与常规组相比,联合组面侧颧颊部、鼻部、额部、其他满意度分值较高(P<0.05)。联合组并发症发生率为14.58%(7/48),与常规组的31.25%(15/48)比较,无统计学差异(P>0.05)。结论改良菱形皮瓣应用于面部基底细胞癌手术缺损修复中可以改善围术期变化,降低疼痛,减少瘢痕,提高面部修复效果和满意度,并且可以减少并发症。

Objective To study the clinical effect of modified rhomboid flap in the repair of surgical defects of facial basal cell carcinoma.Methods 96 cases of facial basal cell carcinoma were selected.According to the random number table method,they were divided into conventional group(n=48)and combined group(n=48).The conventional group used conventional tumor resection,and the combined group used modified rhombic flap defect repair on the basis of the conventional group.The perioperative changes,pain degree,scar changes,facial repair effect,satisfaction score and complications were compared between the 2 groups.Results Compared with the conventional group,the incision length and skin defect area of the combined group were smaller,and the wound healing time was shorter(P<0.05);Compared with the routine group,the pain degree and scar change score in the combined group were lower after treatment(P<0.05);Compared with the routine group,the scores of color,function and aesthetics in the combined group were higher(P<0.05);Compared with the routine group,the scores of facial zygomatic buccal,nasal,frontal and other satisfaction in the combined group were higher(P<0.05);The complications in the combined group were 14.58%(7/48)and 31.25%(15/48)in the routine group(P>0.05).Conclusion The application of modified rhomboid flap in the repair of surgical defects of facial basal cell carcinoma can improve the perioperative changes,reduce pain,reduce scar,improve the effect and satisfaction of facial repair,and reduce complications.