改良菱形皮瓣修复皮肤缺损

目的:总结改良菱形皮瓣修复皮肤缺损的的应用经验。方法:2006年～2011年,我科应用改良菱形皮瓣修复皮肤缺损共46例,创面最大7.0cm×4.5cm,最小1.2cm×0.6cm。在缺损边缘的一侧设计皮瓣,浅筋膜层内形成皮瓣,无张力下向受区转移修复创面。结果:术后除2例皮瓣尖端散在的表皮坏死外,其余存活良好,创面得以Ⅰ期修复,经1个月～5年随访,切口痕迹不明显,局部外形满意。结论:改良菱形皮瓣制作简单,是修复皮肤缺损的一种良好方法。

Repairing skin defects with modified rhomboid flap

Objective To summarize clinical experience of skin defects reparation with modified rhomboid flap.Methods 46 patents with skin and soft-tissue defects were admitted to our department since 2006,the focus area ranged from 1.2 cm×0.6 cm to 7.0cm×4.5cm.The modified rhomboid flap was formed beside defect and elevated from superficial fascia layer,transferred into defect without tension.Results All flaps survived with primary healing postoperation except partial necrosis in 2 cases,the aesthetic and functional results were satisfactory with the mild scar after 1 months to 5 years following-up.Conclusion The elevating of modified rhomboid flap is easy and simple.It is a good method for repair of skin defects.