Burow's楔形推进皮瓣与V-Y推进皮瓣对面部皮肤肿瘤切除术后修复的效果比较

Comparison of the effects of Burow's wedge advancement flap and V-Y advancement flap for postoperative repair of facial skin tumor lesions

摘要:

目的 比较Burow's楔形推进皮瓣与皮下蒂皮瓣V-Y推进皮瓣对面部皮肤肿瘤切除术后修复效果的影响。方法 选取2018年3月—2022年3月宝鸡高新医院收治的92例面部皮肤肿瘤切除术后皮肤缺损患者，将患者分为两组，其中采取Burow's楔形推进皮瓣修复患者45例（对照组），采取皮下蒂皮瓣V-Y推进皮瓣修复患者47例（研究组），术后随访12个月。对比两组皮瓣存活情况、咀嚼活动状况、焦虑及抑郁情绪、生活质量、术后并发症及患者满意情况。结果 两组皮瓣存活优良率比较，差异无统计学意义（P >0.05）。两组术后静息时、最大力咬合时咬肌、颞肌肌电活动比较，差异均无统计学意义（P >0.05）。两组手术前后焦虑自评量表（SAS）、抑郁自评量表（SDS）评分差值比较，差异均无统计学意义（P >0.05）。两组术后心理功能、生理功能、社会功能、物质生活状态评分比较，差异均无统计学意义（P >0.05）。两组并发症总发生率、满意度比较，差异均无统计学意义（P >0.05）。结论 Burow's楔形推进皮瓣与皮下蒂皮瓣V-Y推进皮瓣对面部皮肤肿瘤切除术后修复效果相近，均可获得满意修复效果，均可改善患者焦虑、抑郁情绪及生活质量，安全性及患者满意度均较高。

Abstract:

Objective To compare the effects of Burow's wedge advancement flap and subcutaneous pedicled V-Y advancement flap for postoperative repair of facial skin tumor lesions.Methods The 92 patients with skin lesions after facial skin tumor resection admitted to the Baoji High-Tech Hospital from March 2018 to March 2022 were selected. They were divided into two groups, of which 45 patients were treated with Burow's wedge advancement flap (control group) and 47 patients with subcutaneous pedicled V-Y advancement flap (study group). Postoperative follow-up was conducted for 12 months, and the two groups were compared in terms of flap survival, masticatory muscle activity, anxiety and depression, quality of life, postoperative complications, and patient satisfaction.Results There was no significant difference in the excellent and good rate of flap survival between the two groups (P > 0.05). There was no statistical significance in the electromyographic activities of masseter and temporal muscles at rest and during maximum bite between the two groups (P > 0.05). The differences in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores before and after surgery between the two groups (P > 0.05). There were no significant differences in the scores of psychological function, physiological function, social function and material well-being between the two groups (P > 0.05). There was no significant difference in the overall complication rate and the satisfaction between the two groups (P > 0.05).Conclusions Burow's wedge advancement flap and subcutaneous pedicled V-Y advancement flap show similar effectiveness in the postoperative repair of facial skin tumor resection defects. Both techniques achieve satisfactory repair outcomes, improve patients' anxiety, depression, and quality of life, and demonstrate high safety and patient satisfaction.