局部皮瓣与邻位皮瓣修复术后放射治疗阴阜瘢痕疙瘩的效
果比较
宋可新;王友彬;张明子;门全仓;刘志飞;王晓军
【期刊名称】《中华医学美学美容杂志》 【年(卷),期】2016(022)003
【摘要】目的 探讨两种皮瓣修复术后放射治疗阴阜瘢痕疙瘩的临床效果.方法 将25例阴阜瘢痕疙瘩患者分为局部皮瓣组(15例)和邻位皮瓣组(10例),瘢痕疙瘩切除后,分别应用局部任意皮瓣及邻位皮瓣(包括髂腹股沟皮瓣、腹直肌肌皮瓣)转移进行修复,术后均应用局部放射治疗.术后2年对患者治疗后的会阴形态,皮肤质地,皮肤颜色,皮肤感觉,阴毛分布,效果整体满意度等进行评价.结果 局部皮瓣组在会阴形态,皮肤颜色,阴毛分布,术后效果整体满意度上优于邻位皮瓣组;在皮肤质地,皮肤感觉方面两组效果相似.结论 阴阜瘢痕疙瘩的治疗,首选局部皮瓣修复,以最大限度的保留阴阜形态,若缺损较大,则可考虑行带血管蒂的邻位轴形皮瓣进行修复.%Objective To explore an effective surgical treatment to the keloid of mons pubis.Methods From March 2008 to January 2015,local flap and adjacent flap (including ilioinguinal flap and rectus abdominal musculocutaneous flap) were performed,and used to repair the defect after surgical removal of the keloid in 25 patients,and all the patients were received postoperative local radiotherapy,and then chi square test was applied to evaluate the effect in the six aspects,including perineal form,skin color,pubic hair distribution,satisfactory effect,skin texture and sense.Results The local flap group was better than the adjacent flap
group in perineal form,skin color,pubic hair distribution,satisfactory effect,but there was no significant difference in skin texture and sense.Conclusions For the keloid of mons pubis,the first choice is local flap graft,which can maintain the normal mons pubis formation as most as possible,while the wound is so large that the local flap cannot work,and therefore the vascular pedicle axial flap should be used. 【总页数】3页(169-171)
【关键词】皮瓣;皮瓣移植;瘢痕疙瘩;阴阜;放射治疗 【作者】宋可新;王友彬;张明子;门全仓;刘志飞;王晓军
【作者单位】100730 北京协和医院整形外科;100730 北京协和医院整形外科;100730 北京协和医院整形外科;100730 北京协和医院整形外科;100730 北京协和医院整形外科;100730 北京协和医院整形外科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-medical-aesthetics-cosmetology_thesis/0201234886250.html 【相关文献】
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局部皮瓣与邻位皮瓣修复术后放射治疗阴阜瘢痕疙瘩的效果比较
