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目的:探讨鼻唇沟皮瓣修复鼻肿瘤切除后缺损的手术方法和临床效果。方法:对15例鼻肿瘤手术切除致外鼻部分组织缺损患者采用鼻唇沟临位皮瓣、岛状皮瓣或皮下组织蒂皮瓣修复。结果:14例皮瓣成活,切口Ⅰ期愈合;1例因皮瓣远端青紫肿胀,给予抗血管痉挛及改善微循环药物,经局部对症处理后愈合良好。结论:鼻唇沟皮瓣修复鼻部分组织缺损方法实用简便,术后鼻外型满意,是鼻缺损有效修复方法之一。
Objective: To investigate the surgical method and clinical effect of nasolabial fold flap in repairing nasal tumor after resection. Methods: Fifteen cases of nasal neoplasms resected nasal and nasal tissue defects were treated with clinical application of nasolabial furger flap, island flap or subcutaneous tissue flap. Results: Flaps survived in 14 cases. The incision healed in the first stage. One case was swollen with bruising on the distal flaps. Anti-vasospasm was given and microcirculation drugs were improved. After local symptomatic treatment, healed well. Conclusion: The nasolabial fissure flap is a practical and convenient method for the repair of nasal tissue defects. Its postoperative nasal appearance is satisfactory, which is one of the effective methods for repairing nasal defects.