面部软组织缺损创面修复的临床要点研究

Clinical analysis of facial soft tissue defect wound repair

目的探讨适合面部软组织缺损特点且相对满意的创面修复的方法。方法选取2021年10月-2023年10月笔者科室收治的30例因面部软组织缺损行创面修复的患者,根据面部软组织缺损创面部位、周边邻近器官组织特点、缺损创面大小、创面深度、皮肤质地颜色等不同情况,采用游离皮片、各种局部皮瓣、穿支皮瓣修复创面。观察术后皮片或皮瓣存活情况、创面修复后对周边器官形态影响情况以及瘢痕增生情况。结果30例患者术后皮瓣全部成活,皮片未见明显移位、皮下淤血等,移植皮片或皮瓣颜色与周边相近,未见因皮瓣移位引起明显周边如眼、鼻、上下唇等形态改变。结论根据面部软组织缺损特点,灵活采用游离皮片、各种局部皮瓣、穿支皮瓣等美容修复创面,有较好的治疗效果,值得临床应用。

Objective To investigate the relatively satisfactory wound repair method for the characteristics of facial soft tissue defects.Methods From October 2021 to October 2023,30 patients who received wound repair due to facial soft tissue defects were selected.According to the wound site of a facial soft tissue defect,the characteristics of the surrounding adjacent organs,the size of the defect,the depth of the wound and the color of the skin texture,free skin graft,various local flaps,and perforator flaps were used to repair the wound.The survival of skin or flap,the effect of wound repair on the morphology of peripheral organs and scar hyperplasia were observed.Results In 30 cases,there was no obvious displacement,subcutaneous congestion,or infection of the skin graft.All skin grafts survived.There was no obvious ischemia and congestion in the flap,and no local or total necrosis of the flap.The color of the transplanted skin or flap was similar to that of the surrounding area,and no obvious morphological changes such as eyes,nose,and upper and lower lips were caused by flap displacement.Conclusion According to the characteristics of facial soft tissue defects,free skin graft,a variety of local flaps and perforator flaps are flexibly used to cosmetic repair the wound,which has a better therapeutic effect and is worthy of clinical application.