O—Z皮瓣修复体表小面积皮肤缺损

目的评价O-Z皮瓣修复体表小面积皮肤缺损的临床效果。方法自2003年以来应用O-Z皮瓣修复体表肿块切除后所留下的小面积皮肤缺损34例，缺损面积5mm×5mm～20mm×30mm。结果34例患者术后皮瓣均成活良好。但有3例皮瓣尖端小部分血运欠佳，发紫，后经拆除张力最大缝线后，血运恢复，伤口I期愈合。术后随访3～24个月，瘢痕不明显，皮瓣颜色与周围一致，形态满意。结论该皮瓣具有操作简单、血运可靠、转移后张力分布均匀、切口瘢痕少、通用性强等优点，适合于修复体表小面积皮肤缺损。

Application of O-Z Flaps for Repair of Small Skin Defect

Objective To evaluate the clinical effect of O-Z flaps for repair of small scale defects. Methods 34 cases of small skin defects were treated since 2003. The size of skin defect was 2 cm × 3 cm - 5 mm× 5 mm. Results All 34 O-Z flaps remained viable and all patients were satisfied with the results which included excellent contour, conceal scar. Conclusion This method is an ideal operation for repair of small scale defect. It has advantages such as simple, reliable blood supply and small sear.