王荣 彭梦龙 詹浩东 冯先才

    [摘要]目的：分析V-Y推进皮瓣在面部皮肤肿瘤患者术后缺损修复中的应用效果。方法：选取2016年1月-2020年2月笔者医院收治的41例面部皮肤肿瘤患者作为研究对象，依据患者缺损部位、形状、面积给予修复方案。其中，经典V-Y推进皮瓣10例，穿支V-Y推进皮瓣10例，改良V-Y推进皮瓣21例。结果：41例患者中，39例患者一期愈合，1例出现皮瓣边缘坏死，经局部修剪换药后愈合;1例出现局部切口感染，经短期换药后愈合。术后口角易位1例、睑外翻1例。随访10～37个月，40例患者面部功能恢复较好，1例患者局部复发，再次行手术切除并放疗。结论：通过V-Y推进皮瓣技术修复面部皮肤肿瘤切除术后缺损，可降低术后并发症发生率，且美观度较好。

    [关键词]面部;皮肤肿瘤;缺损;修复;推进皮瓣;改良

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2022)04-0050-03

    Effect of V-Y Advancing Skin Flap in Repairing Defects after Resection of Facial Skin Tumors

    WANG Rong1，PENG Menglong1，ZHAN Haodong2，FENG Xiancai1

    (1.Department of Burn Plastic Cosmetic; 2.Department of Thoracic and Cardiovascular Surgery，Central Hospital of Huanggang，Huanggang 438000，Hubei，China)

    Abstract： Objective? To analyze the effect of V-Y advanced skin flap in postoperative defect repair of patients with facial skin tumor. Methods? A total of 41 patients with facial skin tumors admitted to our hospital from January 2016 to February 2020 were selected as the research objects ......