探讨皮肤软组织扩张术修复面部皮肤缺损的效果.docVIP

精品论文 参考文献 探讨皮肤软组织扩张术修复面部皮肤缺损的效果 哈尔滨伊美尔美容医院 150010 摘要：目的：研究分析皮肤软组织扩张术用于面部皮肤缺损美容修复的临床效果。方法：此次研究的对象是选择32例面部皮肤缺损的患者。将其临床资料进行回顾性分析，I期手术根据32例面部组织病损修复需要的不同特点设计并制作扩张皮瓣，II期手术切除皮损区域并利用扩张皮瓣修复缺损区。结果：32例中，30例面部病损切除后利用扩张皮肤形成局部皮瓣一次完成修复，修复后的皮肤质地和色泽与受区接近，外形满意。一次修复缺损创面最大者约7cmtimes;10cm。患者修复后皮损区愈合良好，瘢痕较小，功能恢复良好，效果满意。结论：运用皮肤扩张术修复面部病损切除后的皮肤缺损是一种较为理想的修复方法，在某些特殊情况下，可能还需要辅助植皮或应用连续扩张法完成修复。面部皮肤扩张技术的应用，使该区域的修复达到更接近正常的效果。 　　关键词：皮肤软组织扩张术；面部组织缺损；皮瓣；修复术；面部皮肤缺损因为面部的特殊性 [Abstract] Objective：To study the clinical effect of skin soft tissue expansion in repairing facial skin defects. Methods：the study subjects were selected from 32 patients with facial skin defect. The clinical data were retrospective analysis，surgical stage I is designed according to the different characteristics of 32 cases of facial lesion tissue repair and production of expanded skin flap，phase II surgery resection of lesion area and the use of expanded skin flap to repair the defect. Results：in 32 cases，30 cases of facial lesions after resection using expanded skin formed local flap is a complete the repair，after the repair of the skin texture and color and by area close to and the appearance was satisfactory. One time repair of defect wound was about 7cm * 10cm. The patient was healed well，the scar was small，the function recovered well，and the effect was satisfactory. Conclusion：the use of tissue expansion in repair of facial lesions after resection of skin defect is an ideal repair method，under some special circumstances，may also need assisted skin grafting or application of continuous expansion method to complete the repair. Facial skin expansion technology applications，so that the regions repair to achieve a more close to the normal effect. [Key words] skin soft tissue expansion；facial tissue defect；skin flap；repair of facial skin defects because of the particularity of the face 无论性质与大小，外科手术都不可能回避美容问题，因而对手术修复要求较高--既要瘢痕少而隐蔽，又要缺损修复后的皮肤在色泽、质地等方面与受区接近[1-3]。对于不能单纯应用局部皮瓣完成修复的病例，目前只有利用皮肤扩张术能较好地达到这两方面的美容修复要求。笔者在临床工作中采