莫林旺 黄宇伦 银桂彬 刘毅 潭慧慧

【摘要】 目的：分析在面部皮肤缺损患者的治疗中应用双叶瓣修复的临床效果。方法：选取2016年1月-2018年12月进入笔者所在医院接受治疗的面部皮肤缺损患者共68例，将其随机分组，试验组患者接受双叶瓣修复，对照组患者接受前额皮瓣修复。结果：试验组患者手术时间、出血量、住院总时间等基本情况显著优于对照组患者，差异有统计学意义（P<0.05）。术后试验组并发症发生率为8.82%，对照组为23.53%，试验组显著较低（P<0.05）。试验组手术有效率91.18%，显著优于对照组的73.53%，差异有统计学意义（P<0.05）。结论：与前额皮瓣修复治疗相比，在面部皮肤缺损患者的治疗中应用双叶瓣修复的效果更显著，可以明显缩短患者手术时间，减少患者术中出血量，缩短患者住院总时间;降低患者并发症发生率，故方案推广意义大。

【关键词】 面部皮肤缺损; 双叶瓣修复; 不良事件率

doi：10.14033/j.cnki.cfmr.2019.27.009 文献标识码 B 文章编号 1674-6805（2019）27-00-02

Effect of Double-leaf Flap Repair of Facial Skin Defect on Improving the Efficiency of Surgery and Reducing the Incidence of Adverse Events/MO Linwang，HUANG Yulun，YIN Guibin，et al.//Chinese and Foreign Medical Research，2019，17（27）：-21

【Abstract】 Objective：To analyze the clinical effect of double-leaf flap repair in the treatment of patients with facial skin defects.Method：A total of 68 patients with facial skin defects who were admitted to our hospital from January 2016 to December 2018 were enrolled.The patients in the experimental group were treated with double-leaf flaps.The control group received forehead flap repair.Result：The basic conditions of operation time，blood loss and total hospitalization time in the experimental group were significantly better than those in the control group，and the difference was statistically significant（P<0.05）.The postoperative complication rate was 8.82% in the experimental group and 23.53% in the control group，which was significantly lower in the experimental group（P<0.05）.The effective rate of the experimental group was 91.18%，which was significantly better than 73.53% of the control group，the difference was statistically significant（P<0.05）.Conclusion：Compared with the treatment of forehead flap，the effect of double-leaf flap repair in patients with facial skin defect is more significant，which can significantly shorten the operation time of patients，reduce the amount of intraoperative blood loss，shorten the total hospitalization time of patients.The incidence of complications decreased，so the promotion of the program is of great significance.

【Key words】 Facial skin defect; Double-leaf flap repair; Adverse event rate

First-authors address：Zhanjiang Central Peoples Hospital，Zhanjiang 524000，China

皮膚癌是较为常见的一类恶性肿瘤，临床上在手术治疗时主张完全切除肿瘤病灶，虽然这种手术治疗方式效果显著，但是手术治疗后患者的面部组织缺损较严重，导致修复困难，同时对于患者外在美观影响极大[1-2]，随着人们对外在美观的重视，皮肤癌术后面部缺损的术后修复得到越来越多人的关注，前额皮瓣修复术是传统临床修复面部损伤的手术，通常使用周围相似组织替代修复，但是患者在术后并发症较多，患者满意度较低，随着医学美容技术的不断发展，双叶瓣修复术被发现临床效果显著且美观度显著。

1 资料与方法

1.1 一般资料

选取2016年1月-2018年12月进入笔者所在医院接受治疗的面部皮肤缺损患者68例，排除精神疾病者。将参与研究的患者随机分成试验组（34例）和对照组（34例），试验组中男28例（82.35%），女6例（17.65%），平均年龄（53.05±2.37）岁。对照组中男29例（85.29%），女5例（14.71%），平均年龄（54.01±2.81）岁。患者及患者家属均自愿参与本次研究并签署知情同意书，均经医院伦理委员会批准。……