中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (53): 10056-10059.doi: 10.3969/j.issn.1673-8225.2011.53.043

• 器官移植临床实践 clinical practice of organ transplantation • 上一篇    下一篇

自体真皮脂肪瓣移植修复唇裂凹陷畸形

马富廉，唐银科，王  伟，高金丽，韩  笑，翟晓梅   

  1. 郑州大学第一附属医院整形外科，河南省郑州市 450052
  • 收稿日期:2011-07-19 修回日期:2011-11-21 出版日期:2011-12-31 发布日期:2011-12-31
  • 通讯作者: 翟晓梅，博士，博士生导师，教授，主任医师，郑州大学第一附属医院整形外科，河南省郑州市 450052 zhaixiaomei@zzu.edu.cn
  • 作者简介:马富廉★，男，1984年生，河南省辉县市人，汉族，郑州大学第一附属医院在读硕士，主要从事整形外科基础与临床方面的基础研究。 mafulian666@yahoo.com.cn

Transplantation of autologous dermal fat flap for introcession malformation of cleft lip

Ma Fu-lian, Tang Yin-ke, Wang Wei, Gao Jin-li, Han Xiao, Zhai Xiao-mei   

  1. Department of Plastic Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou  450052, Henan Province, China
  • Received:2011-07-19 Revised:2011-11-21 Online:2011-12-31 Published:2011-12-31
  • Contact: Zhai Xiao-mei, Doctor, Doctoral supervisor, Professor, Chief physician, Department of Plastic Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China zhaixiaomei@zzu.edu.cn
  • About author:Ma Fu-lian★, Studying for master’s degree, Department of Plastic Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China mafulian666@yahoo.com.cn

PDF

530

被引次数

5

摘要：

背景：唇裂畸形二期修复时应用自体真皮脂肪瓣移植报道较少，但其选材及修复后效果均有明显优势。
目的：探讨自体真皮脂肪瓣移植在唇裂继发上唇凹陷畸形修复中的应用，并对修复效果进行评估分析。
方法：回顾性分析91例自体不同部位来源的真皮脂肪瓣移植修复唇裂后继发上唇不同程度凹陷的患者资料，观察上唇部红唇的外翻程度和自体真皮脂肪瓣的成活及吸收情况，查看修复后上唇部前凸效果。
结果与结论：修复后6个月随访查看真皮瓣吸收状况及前唇外翻程度，91例患者中随访76例，其中61例成活良好，效果满意，4例吸收严重，2例真皮瓣填充较多，9例上唇外翻不足，均于6个月时再次修复后取得满意效果。说明采用自体真皮脂肪瓣移植行唇裂凹陷畸形修复对于局部缺损凹陷具有良好效果。

关键词: 自体真皮脂肪瓣, 移植, 唇裂, 凹陷缺损, 畸形修复

Abstract:

BACKGROUND: There are few reports on transplantation of autologous dermal fat flap for cleft lip deformity, but selection and repair effect both has obvious advantages.
OBJECTIVE: To investigate application of autologous dermal fat flap transplantation on secondary cleft lip deformity repair, and evaluate and analyze the repair effect.
METHODS: Retrospective analysis data of 91 patients whose secondary lip upper with different degrees of depression after autologous dermal fat flap from different parts used for lip transplantation. Eversion degree of lips on lips, survival and absorption of autologous dermal fat flap and repair effect of upper lip were observed.
RESULTS AND CONCLUSION: Survival and absorption of dermal fat flap, eversion degree of lips on lips were observed at 6 months after repairing. Seventy-six in 91 cases were followed-up, 61 cases of composite dermal fat flap survived well and the effect was satisfactory. Four cases was severely absorption, 2 cases was filled with excessive dermal fat flap real flap and 9 cases were lacked of upper lip eversion, All the cases obtained satisfactory effect after repair again at 6 months. Tansplantation of autologous dermal fat flap for introcession malformation of cleft lip can obtain good effect in local defects depression.

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