鼻部皮肤缺损皮瓣修复的临床应用

王亚强，张林宏，孟安锋，李永熙，时永强

（陕西省宝鸡市人民医院整形美容中心，陕西宝鸡，721000）

浏览次数：107次 下载次数：392次

摘要：

目的 观察多种皮瓣修复鼻部皮肤缺损的效果。方法 回顾性分析我中心2009年1月至2015年12月收治的鼻部皮肤缺损患者106例的临床资料，经多种皮瓣修复鼻部皮肤缺损，对供区皮肤拉拢缝合。结果 97例患者创面玉期愈合；3例因伤口感染，经换药后延迟愈合；5例皮瓣远端部分发黑坏死，经换药后愈合；1例因皮瓣蒂部血肿，致皮瓣坏死，域期给予植皮关闭创面。95例患者随访1~36个月，鼻外形良好，患者均满意。结论 根据患者具体情况选择皮瓣，可达到患者的心理预期效果。

关键词：皮肤缺损；创面修复；感染

中图分类号：R765.9文献标志码：A文章编号：2096-1413(2017)04-0136-02

Nasal skin defect flap clinical application

WANG Ya-qiang, ZHANG Lin-hong, MENG An-feng, LI Yong-xi, SHI Yong-qiang

(Center of Plastic and Trauma Surgery, the People's Hospital of Baoji, Baoji 721000, China)

ABSTRACT: Objective To observe the effects of various skin flap repaire on nasal skin defect. Methods The clinical data of 106 cases of patients with nasal skin defect admitted in our hospital from January 2009 to December 2015 were analyzed retrospectively, the patients received various skin flap repaire, and the donor area was sutured directly. Results The wound healed at stage in 97 patients; the wound was infected in 3 cases and delayed union after changing dressings; the flap distal part got black and necrosis in 5 cases and delayed union after changing dressings; 1 case was with hematoma in flap pedicle division leading to flap necrosis, and was given skin graft closed wound at stage.Ninety-five cases were followed up for 1-36 month, the nasal shape recovered well and patients were all satisfied. Conclusion Choosing flap according to the specific conditions of patients can achieve the psychological expectations ofthe patients.

KEYWORDS: skin defect; wound healing; infect

参考文献：

[1] 郑厚兵,王彪,黄循镭,等.应用鼻唇沟皮下组织蒂岛状皮瓣修复鼻部皮肤肿瘤切除后创面[J].中国美容医学杂志,2015,24(1):15-17.

[2] 程付伟,李寅,张维天,等.局部皮瓣在修复外鼻小面积皮肤缺损中的应用[J].临床耳鼻咽喉头颈外科杂志,2013,27(23):1303-1306.

[3] 张帆,张扬,高竞逾.局部皮瓣在鼻部皮肤恶性肿瘤切除后创面修复中的临床应用[J].中国美容医学杂志,2014,23(21):1778-1781.

[4] 李保卫,王佩林,吴玮,等.鼻唇沟皮瓣在鼻部皮肤缺损即时修复中的应用[J].河北医科大学学报,2010,31(8):929-931.

[5] 荀乙峰,邵明今,冯璠.鼻唇沟皮瓣在鼻部皮肤缺损修复中的应用[J].中国实用医药,2012,7(19):126-127.

[6] 王白石,杨红岩,晏晓青,等.前臂桡侧皮瓣修复鼻及鼻旁大面积缺损8例[J].人民军医,2012,63(6):531-532.

[7] 翟沁凯,王大为,王绪凯,等.应用前臂皮瓣修复全鼻缺损2例[J].中国实用口腔科杂志,2011,4(4):255-256.