Analysis of the effect of different skin flaps in repairing head and face skin defects
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摘要: 目的 比较不同皮瓣修复方法对头面部皮肤缺损的治疗效果。 方法 选取60例头面部皮肤缺损患者作为研究对象,均行皮瓣修复治疗,根据手术方案的不同将患者分成3组, A组(n=14)采用双侧推进皮瓣修复治疗,B组(n=21)采用A-T皮瓣修复治疗, C组(n=25)采用菱形皮瓣修复治疗,比较3组患者的缺损部位、并发症发生率,随访1年,比较3组的瘢痕情况。 结果 3组缺损部位比较,差异有统计学意义(P<0.05); 所有患者皮瓣均成活,无皮瓣坏死情况发生; A组、B组、C组的并发症发生率分别为7.14%、9.52%、8.00%, 差异无统计学意义(P>0.05); 3组瘢痕颜色、弹性程度评分和瘢痕宽度比较,差异无统计学意义(P>0.05); C组瘢痕平整度评分低于A组和B组,差异有统计学意义(P<0.05)。 结论 双侧推进皮瓣修复、A-T皮瓣修复、菱形皮瓣修复均可有效修复头面部皮肤缺损,其中菱形皮瓣修复的瘢痕平整度更佳。Abstract: Objective To compare the effects of different skin flaps in repairing head and face skin defects. Methods A total of 60 patients with facial skin defects were selected, and all underwent flap repairing. They were divided into three groups according to different operation programs. Group A(n=14)conducted double side advancing flap repair, group B(n=21)used A-T flap repair, and group C(n=25)used rhomboid skin flap to repair defects. Defect areas and complication rates were compared, and scar conditions of three groups were compared after 1 year follow up. Results The defect sites of the three groups showed significant differences(P<0.05). All flaps survived, and there was no necrosis of flaps. The complication rates of group A, group B and group C were 7.14%, 9.52% and 8.00%, respectively, but there were no significant differences among the three groups(P>0.05). There were no significant differences in scar color, elasticity degree score and scar width among the three groups(P>0.05). The flatness score of group C was significantly lower than that of group A and group B(P<0.05). Conclusion Bilateral advancing skin flap, A-T skin flap and rhomboid skin flap repair can effectively repair skin defects of head and face, and rhomboid skin flap has smoother scar.
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