改良Dufoumental菱形皮瓣结合美学原理修复面部皮肤缺损
[摘要]目的：研究改良Dufoumental菱形皮瓣修复面部皮肤软组织缺损的临床效果。方法：应用改良Dufoumental菱形皮瓣修复面部皮肤缺损，63例患者均为面部肿物切除后圆形或类圆形组织缺损，修复术前皮肤缺损面积为（2.68±1.81）cm2，在缺损周围设计改良Dufoumental菱形皮瓣，转移并缝合固定。结果：皮瓣均全部成活，切口一期愈合，术后随访1个月～3年，创面无明显瘢痕，效果满意。结论：改良Dufoumental菱形皮瓣修复面部缺损效果满意、可靠。
[关键词]改良Dufoumental菱形皮瓣；皮肤软组织缺损；面部美学单位；圆形缺损；类圆形缺损
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2018）09-0049-03
The Modified Dufoumental Rhomboid Skin Flap Combined with Aesthetic Principle is Applied to Repair Facial Skin Defect
ZHUANG Shu-bo，JI Yue-nan，ZHAO Na，WANG Xin
（Department of Dermatology，the First Hospital of Tsinghua University，Beijing 100016，China）
Abstract： Objective To study the clinical effect of the modified dufoumental rhomboid skin flap in the repair of facial soft tissue defects. Methods Application of modified dufoumental rhomboid skin flap to repair facial skin defect， 63 patients were round or class round after resection for facial tissue defects. The area of skin defect before repair was（2.68±1.81）cm2， the modified dufoumental rhomboid skin flap was designed around the defect， transfer and suture fixation. Results All the skin flaps survived， the incision healed at stage I. And the postoperative follow-up was from 1 month to 3 years， there were no obvious scars on the wound， and the effect was very satisfactory. Conclusion The modified dufoumental rhomboid skin flap in accordance with facial aesthetic units is an effective and reliable technique for the treatment of defect on the face.
Key words： the modified dufoumental rhomboid skin flap； skin and soft tissue...
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