【摘要】 目的:介绍应用鼻唇沟皮下组织带蒂岛状皮瓣进行鼻部皮肤肿瘤手术切除后创面修复的安全性、操作要点、临床体会及手术疗效。方法:针对不同性质的鼻部皮肤肿瘤尤其是恶性肿瘤,当范围超过10mm,应用鼻唇沟皮下组织蒂岛状皮瓣进行鼻部手术创面的修复,供区鼻唇沟切口直接拉拢缝合。结果:对15例病例应用此方法治疗,均取得了满意的手术效果,皮瓣全部成活,术后鼻部瘢痕不明显,外观无变形,供区鼻唇沟无明显瘢痕增生。结论:鼻部皮肤肿瘤(>10mm)无法直接切除拉拢缝合关闭创面,应用鼻唇沟皮下组织蒂岛状皮瓣进行创面修复,取得良好的手术效果。手术创伤小、操作简单,具有较大的临床应用价值。更多还原

【Abstract】 Objective Introduction on the safety measures,essential operational procedures,clinical experience and clinical effect of nasolabial subcutaneous pedicle flap used in reconstruction after resection of nasal skin tumor.Methods Depending on the properties of nasal skin tumor,especially the malignant tumor,with an affected area over 10 mm,using nasolabial subcutaneous pedicle island flap have further advanced our ability to provide reconstructive options,the donor site of the nasolabial fold can hereafter be addressed directly with surgical sutures.Results In all of the 15 cases have achieved satisfactory results,evaluation on survival of the flaps are all intact and desirable.Leaving no obvious deformation nor scar formation in the nose region and the donor site.Conclusion After removal of nasal skin tumor with an diameter over 10 mm,the resulting secondary defect can not be sutured directly,and nasolabial subcutaneous pedicle flap provides an treatment method to such complex wounds.As an result,the reconstruction outcome are desirable.This method of recontruction is easy to operate and resulting an minimum trauma,hence useful in clinical application.更多还原