改良菱形皮瓣在面部基底细胞癌手术缺损修复中的应用

目的:分析改良菱形皮瓣在面部基底细胞癌手术缺损修复中的应用。方法:选取2012年2月至2016年5月在我院就诊的面部基底细胞癌患者为研究对象,采用常规肿瘤切除术及改良菱形皮瓣修复术对患者进行治疗,对患者的术后不良反应、瘢痕恢复情况等进行总结分析。结果:本研究共纳入41例患者,术后所有患者皮瓣均I期成活,创面平整,未见皮下血肿及感染,周围器官未发生明显位移或畸形;其中2例患者眼部略有牵拉变形,随访1年后变形情况逐渐改善,双眼基本对称;术后瘢痕评估结果显示,患者瘢痕颜色评分为0.61±0.08、平整度评分为0.40±0.06、弹性评分为0.72±0.15、宽度评分为0.86±0.10。结论:改良菱形皮瓣在面部基底细胞癌手术缺损的修复中有较好的疗效。

Application of modified rhomboid flap in repairing defect of facial basal cell carcinoma

Objective: To analyze the application of modified rhomboid flap in repairing defect of basal cell carcinoma. Methods: Patients with facial basal cell carcinoma who were treated in our hospital were selected from Feb. 2012 to May. 2016, and they were treated with routine tumor resection and modified rhomboid flap repair surgery. The postoperative adverse reactions and scar recovery of the patients were assessed. Results: A total of 41 patients were collected. The transplanted tisssues in all patients were survived, with one-stage coalescenced, wound flat, no subcutaneous hematoma or infection. There was no apparent displacement or deformity in surrounding organs. The eyes were slightly deformed in two patients. The patient was recovered well after one year, the deformation gradually improved, the eyes were basically symmetrical. None of the patients had recurrence or neck metastasis. The results of postoperative scar assessment showed that the scar color score was (0.61±0.08), the flatness score was (0.40±0.06), the elasticity score was (0.72±0.15), and the width score was (0.86±0.10). Conclusion: The modified rhomboid flap in repairing defect of facial basal cell carcinoma is effective.