(上海市第一人民医院整形外科 上海200080)

    黄燮青 男，1952年生，1978年上海第一医学院医疗系毕业，现任上海市第一人民医院整形外科副主任医师，发表学术论文多篇。[摘 要] 目的：介绍带蒂皮瓣在修复鼻部基底细胞癌术后缺损的临床经验。 方法：位于鼻尖或鼻根部术后缺损用前额皮瓣修复7例，鼻翼部缺损用鼻唇沟皮瓣修复11例。 结果：皮瓣转移后出现静脉回流不畅现象，将皮瓣远端修薄后作打包缝合2例，术后皮瓣边缘有部分坏死1例，其余皮瓣均存活。术后外形满意、肿瘤无复发。 结论：带蒂皮瓣具有血供可靠，操作简便，供区隐蔽，特别适用于一期修复鼻部基底细胞癌术后的缺损畸形。

    [关键词] 皮瓣 修复 鼻缺损 基底细胞癌

    [中图分类号]R762 [文献标识码]A [文章编号]1008-6455(2000)06-0446-02

    REPAIR THE DEFECT AFTER THE OPERATION OF NASAL BASAL

    CELL CARCINOMA WITH PEDICLE SKIN FLAP

    HUANG Xie-qing SHEN Hua

    Department of Plastic Surgery,Shanghai First Peoples Hospital(Shanghai 200080)

    [Abstract] Objective:To introduce the clinical results by using the pedicle skin flap to repair the defect of nasal basal cell carcinoma after the operation. Methods:7 cases of the defects on nose-tip or nasion after the operations were repaired with forehead skin flap,11 cases of the defects on nasal alae with naso-labial skin flap. Results:The flaps appeared to be venous return dysfunctual and were sutured with package under pressure after thinning the distant parts on 2 cases.Necrosis of the edge of the flap was happened on 1 case.Others were survived. The shapes of the flap were satisfactory.No tumor recurred. Conclusion:The pedicle skin flaps blood supply is reliable,method is simple and the donor site is concealed.The flap is especially suitable for one stage to repair the postoperative defect of nasal basal cell carcinoma. ......