改良矩形皮瓣在修复眉内肿物切除术后创面中的疗效

目的 探讨改良矩形皮瓣在眉内肿物切除术后眉缺损修复中的应用效果。方法 选取2021年 1月-2022年6月在我院就诊的11例眉内肿物患者，行体表肿物切除术后根据缺损设计眉内改良矩形皮瓣修 复创面。术后随访分析手术效果，比较治疗前后双侧眉形对称、瘢痕程度、复发率和患者满意度。结果 11例 患者病理均显示为“色素痣”，手术后皮瓣一期存活率100.00%，皮瓣颜色、质地与周围组织接近，术后瘢 痕隐蔽，眉形、毛发浓密程度与健侧接近，外形美观，患者满意程度高。随访半年后，肿物无复发，瘢痕 无增生，皮瓣上眉毛生长良好无脱落。结论 改良矩形皮瓣修复眉内肿物切除术后创面疗效良好，不仅能 修复创面，还能很大程度地维持眉形，且术后瘢痕不明显。

Therapeutic Effect of Modified Rectangular Skin Flap in Repairing Wounds After Excision of Eyebrow Mass

Objective To explore the application effect of modified rectangular skin flap in repairing wounds after excision of eyebrow mass. Methods From January 2021 to June 2022, 11 patients with eyebrow mass who were treated in our hospital were selected. After the resection of the body surface tumor, the modified rectangular flap in the eyebrow was designed to repair the wound according to the defect. Postoperative follow-up was performed to analyze the surgical effect, and bilateral eyebrow symmetry, scar degree, recurrence rate and patient satisfaction were compared before and after treatment. Results Eleven patients were pathologically diagnosed as pigmented nevus. The one-stage survival rate of the flap after operation was 100.00%. The color and texture of the flap were close to the surrounding tissues. The postoperative scar was not obvious. The eyebrow shape and hair density were close to the healthy side. The appearance was beautiful and the patient''s satisfaction was high. After half a year of follow-up, there was no recurrence of the tumor, no scar hyperplasia, and the eyebrows on the flap grew well without shedding. Conclusion The modified rectangular flap has a good effect on repairing the wound after excision of eyebrow mass, which can not only repair the wound, but also maintain the eyebrow shape to a great extent, and the postoperative scar is not obvious.