皮下蒂皮瓣在面部肿瘤切除术后创面修复中的应用_West China Medical Journal

Authors：

 李正勇 , 岑瑛 ,  陈俊杰 , 蒲怡 , 伍俊良

四川大学华西医院烧伤整形科, 成都 610041;

Corresponding author：

李正勇, Email: lizydd@sina.com; 陈俊杰, Email: cjjemail@163.com

Keywords：

面部; 皮肤肿瘤; 皮下蒂皮瓣; 修复

DOI：

10.7507/1002-0179.201600293

Video：

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目的探讨采用皮下蒂皮瓣修复面部肿瘤切除术后创面的临床经验。方法回顾性分析 2008 年1 月-2013 年 1 月收治的 60 例面部皮肤肿瘤患者，其中脂溢性角化症 12 例，角化棘皮瘤 6 例，色素痣 10 例，基底细胞癌 30 例，鳞状细胞癌 2 例。切除术后创面面积最小者为 0.5 cm×0.5 cm，位于右鼻翼，为色素痣切除术后创面；最大者为 6 cm×5 cm，位于鼻背部，为基底细胞癌切除术后创面。采用皮下蒂皮瓣修复面部皮肤肿瘤切除术后创面。结果 60 例患者均顺利完成手术，术中出血少。术后未发生感染。除 1 例患者术后皮瓣远端轻度缺血，形成薄痂，术后 10 d 痂壳脱落后伤口愈合，其余患者的伤口均获一期愈合。术后随访 3 个月～5 年，无肿瘤复发，皮瓣形态良好，无明显瘢痕。结论彻底切除、及时修复、获得良好外观是面部肿瘤切除术后创面修复的关键。由于面部血循环丰富，皮下蒂皮瓣为面部肿瘤切除术后创面修复的首选。

Citation： 李正勇, 岑瑛, 陈俊杰, 蒲怡, 伍俊良. 皮下蒂皮瓣在面部肿瘤切除术后创面修复中的应用. West China Medical Journal, 2016, 31(6): 1089-1091. doi: 10.7507/1002-0179.201600293 Copy

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1. Koplin L, Zarem HA. Recurrent basal cell carcinoma. A review concerning the incidence, behavior, and management of recurrent basal cell carcinoma, with emphasis on the incompletely excised lesion[J]. Plast Reconstr Surg, 1980, 65(5) :656-664.
2. Fattah A, Pollock J, Maheshwar A, et al. Big bad BCCs:craniofacial resection and reconstruction for atypical basal cell carcinomata[J]. J Plast Reconstr Aesthet Surg, 2010, 63(5) :e433-e441.
3. Manstein CH, Manstein ME, Beidas OE. Giant basal cell carcinoma:11-year follow-up and seven new cases[J]. Plast Reconstr Surg, 2011, 128(3) :1105-1106.
4. Hoban PR, Ramachandran S, Strange RC. Environment, phenotype and genetics:risk factors associated with BCC of the skin[J]. Expert Rev Anticancer Ther, 2002, 2(5) :570-579.
5. Ramachandran S, Fryer AA, Smith AG, et al. Basal cell carcinoma[J]. Cancer, 2000, 89(5) :1012-1018.
6. 李华, 邵雁, 叶学红, 等. 随意微小皮瓣在颜面部缺损的合理应用[J]. 中华整形外科杂志, 2005, 21(5) :391-392.
7. 严明忠, 钟广斌. 面部整形中局部皮瓣的应用[J]. 临床医学美容杂志, 1999, 5(1) :14-15.
8. 吴燕梅, 朱华锋, 王健. 局部皮瓣在面部整形修复中的应用[J]. 中华全科医学, 2009, 7(11) :1214-1215, 封3.
9. Baker SR. Regional flaps in facial reconstruction[J]. Otolaryngol Clin North Am, 1990, 23(5) :925-946.
10. Orkić Ž, Puntarić D, Puntarić E, et al. Characteristics and incidence of head and neck skin malignant neoplasms in the population of the osijek-baranya county 2004-2012[J]. Acta Med Croatica, 2015, 69(1) :15-24.
11. Orkić Ž, Puntarić D, Vidosavljević D, et al. Climatic factors and epidemiologic characteristics of head and neck skin malignancies in osijek baranja county, Croatia[J]. Cent Eur J Public Health, 2015, 23(4) :275-285.
12. Kraljik N, Rosso M, Ageel A, et al. The incidence of skin squamous cell carcinoma in Osijek-Baranja County——an epidemiological study[J]. Coll Antropol, 2011, 35(Suppl 2) :77-80.
13. Goldberg DP. Assessment and surgical treatment of basal cell skin cancer[J]. Clin Plast Surg, 1997, 24(4) :673-686.
14. Bailey IS, Goldwasser MS. Surgical management of facial skin cancer[J]. Oral Maxillofac Surg Clin N Am, 2005, 17(2) :205-233.
15. Prstojevich SJ, Nierzwicki BL. Treatment options for premalignant and malignant cutaneous tumors[J]. Oral Maxillofac Surg Clin North Am, 2005, 17(2) :147-160.

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皮下蒂皮瓣在面部肿瘤切除术后创面修复中的应用

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