中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (4): 272-275.doi: 10.12144/zgmfskin202504272

• 临床研究 • 上一篇    下一篇

双皮下蒂岛状皮瓣修复鼻翼基底细胞癌术后缺损疗效评价

王琨,张俊   

  1. 天津市中医药研究院附属医院皮肤外科, 天津，300120
  • 出版日期:2025-04-15 发布日期:2025-04-08

Evaluation of efficacy of double subcutaneous island pedicle flap in repairing defect after alar basal cell carcinoma excision

WANG Kun, ZHANG Jun   

  1. Department of Dermatology, Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine, Tianjin 300120, China
  • Online:2025-04-15 Published:2025-04-08

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摘要： 目的：评价双皮下蒂岛状皮瓣修复鼻翼基底细胞癌（BCC）术后缺损的临床效果。方法：对2022年10月至2024年3月入院的50例鼻翼BCC患者进行双皮下蒂岛状皮瓣修复。术前根据肿瘤复发风险确定切除范围，设计双皮下蒂岛状皮瓣。术中切除病变组织后，依次形成皮瓣并旋转推进修复缺损，精细缝合。结果：50例患者术后皮瓣全部成活，无坏死和局部缺血水疱，伤口Ⅰ期愈合。随访1~12个月，无复发，皮瓣色泽与周边皮肤接近，瘢痕不明显，双侧鼻翼外观基本一致。结论：双皮下蒂岛状皮瓣修复鼻翼BCC术后缺损效果良好，美观且并发症少。

关键词: 皮下蒂皮瓣, 基底细胞癌, 修复

Abstract: Objective: To assess the clinical efficacy of double subcutaneous island pedicle flap in repairing the defect after alar basal cell carcinoma(BCC) excision. Methods: 50 patients with alar BCC were treated with a double subcutaneous pedicle island flap from October 2022 to March 2024. The surgical margins were determined based on the risk of tumor recurrence, and two subcutaneous island pedicle flaps were designed. After the tumor was excised, the flaps were created and rotated to cover the defects, followed by meticulous suture closure. Results: All flaps survived postoperatively without necrosis or ischemic blisters, and the wounds healed by primary intention. During the follow-up of 1 to 12 months, no recurrence was observed. The flap color matched the surrounding skin well, with minimal scarring and symmetrical bilateral alae nasi. Conclusion: Using double subcutaneous island pedicle flap to repair the defect after alar BCC excision achieves satisfactory aesthetic outcomes with minimal complications.

Key words: subcutaneous pedicle flap, basal cell carcinoma, repair