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局部随意皮瓣修复颜面部皮肤软组织缺损的应用
引用本文:姚东刚,张选奋,武元元. 局部随意皮瓣修复颜面部皮肤软组织缺损的应用[J]. 国际外科学杂志, 2014, 41(7): 451-453
作者姓名:姚东刚  张选奋  武元元
作者单位:姚东刚 (甘肃省妇幼保健院乳腺二科女性整形外科, 兰州,730050); 张选奋 (兰州大学第二医院整形美容科, 兰州,730030); 武元元 (甘肃省肿瘤医院乳腺科,兰州,730050);
摘    要:
目的 探讨采用局部随意皮瓣修复颜面部各种病变切除后及外伤致皮肤软组织缺损的临床效果.方法 2008年7月-2013年6月,应用局部随意皮瓣修复颜面各部位皮肤软组织缺损56例,根据缺损的部位、形状及大小,设计不同的局部随意皮瓣,转移修复颜面部皮肤软组织缺损创面.结果 术后皮瓣全部存活良好,所有创面均Ⅰ期修复,随访3~6个月,切口愈合良好,色素沉着及瘢痕增生不明显,外形效果满意.结论 应用局部随意皮瓣修复颜面部皮肤软组织缺损可获得得满意的外观和功能效果,值得临床推广.

关 键 词:外科皮瓣  面部  皮肤缺损  修复外科手术

Application of the repair in the facial skin and soft-tissue defects with local random flap
Affiliation:Yao Donggang, Zhang Xuanfen, Wu Yuanyuan (Second Department of Breast, Female Plastic Surgery, Gansu Provincial Maternity and Child - care Hospital, Lanzhou 730050, China)
Abstract:
Objective To explore clinical efficacy of local random flap in reconstruction of facial skin and softtissue defects caused by lesions resection and injury.Methods Forty-six cases with facial skin and soft-tissue defects were cured by constructing and transplanting different local random flap that is designed according to parts,shapes and sizes of defect between July of 2008 and June of 2013.Results All the cases obtained satisfactory effects for full survivorship of flap,one-stage healing of wound,tiny scar and pigmentation,and good appearance by following up from 3 months to 6 months after operation.Conclusions Using local random flap in repair of facial skin defect could get satisfactoried functional and aesthetic efficacy,and it is worth being applicatied in the clinic.
Keywords:Surgical flaps  Face  Skin defect  Reconstructive surgical procedures
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