首页|期刊导航|中国美容医学|Reading man皮瓣与菱形皮瓣修复头面部皮肤肿瘤术后缺损的疗效对比

Reading man皮瓣与菱形皮瓣修复头面部皮肤肿瘤术后缺损的疗效对比OA

Comparison of the Efficacy of the Reading man Flap versus the Rhomboid Flap in Repairing Postoperative Skin Defects Following Head and Face Tumor Resection

中文摘要英文摘要

目的:分析对比Reading man皮瓣与菱形皮瓣修复头面部皮肤肿瘤术后缺损的疗效.方法:选取2022年2月-2025年2月笔者医院接受诊治的103例头面部皮肤肿瘤患者作为研究对象,根据皮瓣修复治疗方案的不同分为观察组(n=50)和对照组(n=53).对照组接受菱形皮瓣修复术,观察组接受Reading man皮瓣修复术.比较两组皮瓣修复效果、术后瘢痕[温哥华瘢痕量表(Vancouver Scar Scale,VSS)]评分、并发症、情绪状态[体像量表(Body Image Scale,BIS)、广泛性焦虑量表(Generalized Anxiety Disorder-7,GAD-7)]评分及患者满意度.结果:修复7 d后,观察组皮瓣修复总有效率为98.00%,更高于对照组的86.79%(P<0.05);与对照组比较,观察组术后1、3个月VSS评分更低(P<0.05);观察组和对照组并发症发生率分别为10.00%、15.09%,差异无统计学意义(P>0.05);与对照组比较,观察组BIS评分、GAD-7评分更低(P<0.05);观察组患者满意度为96.00%,更高于对照组的81.13%(P<0.05).结论:Reading man皮瓣修复术应用于头面部皮肤肿瘤患者术后皮瓣修复治疗中疗效显著,能改善术后瘢痕程度,并缓解患者负面情绪,患者较为满意.

Objective To analyze and compare the curative effect of Reading man flap and rhomboid flap in repairing head and face defects after skin tumor resection.Methods A total of 103 patients with head and face skin tumors who were treated in the hospital from February 2022 to February 2025 were selected as the research objects.According to the different treatment plans of flap repair,they were divided into the observation group(n=50)and the control group(n=53).The control group received rhomboid flap repair,and the observation group received Reading man flap repair.The flap repair effect,postoperative scar[Vancouver Scar Scale(VSS)],complications,emotional status[Body Image Scale(BIS),Generalized Anxiety Disorder-7(GAD-7)]and patient satisfaction were compared between both groups.Results After 7 days of repair,the total effective rate of flap repair in the observation group with 98.00%was higher than 86.79%in the control group(P<0.05).Compared with the control group,the VSS scores in the observation group were lower at 1 month and 3 months after repair(P<0.05).The incidence rates of complications in the observation group and the control group were 10.00%and 15.09%respectively(P>0.05).The BIS score and GAD-7 score in the observation group were lower compared with those in the control group(P<0.05).The satisfaction of patients in the observation group was 96.00%,which was higher than 81.13%in the control group(P<0.05).Conclusion Reading man flap repair has significant efficacy in the postoperative flap repair treatment of patients with head and face skin tumors.Additionally,it can improve the postoperative scar degree and alleviate the negative emotions of patients,with high patient satisfaction.

王鹏;汪洋;李俊

南京医科大学附属宿迁第一人民医院烧伤整形科 江苏宿迁 223800南京医科大学附属宿迁第一人民医院烧伤整形科 江苏宿迁 223800南京医科大学附属妇产医院医疗美容科 江苏南京 210000

医药卫生

皮肤肿瘤头面部软组织缺损Reading man皮瓣菱形皮瓣皮瓣移植

skin tumorshead and facesoft tissue defectsReading man flaprhomboid flapflap transplantation

《中国美容医学》 2026 (2)

41-44,193,5

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