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目的:总结菱形皮瓣修复头颈部皮肤肿瘤切除术后缺损的临床经验。方法:2002年7月~2006年9月收治的24例头颈部皮肤肿瘤患者。所有患者均采用术中冷冻切片监测标本及切缘,皮肤缺损范围为1.0cm×1.5cm~3.0cm×3.5cm,全部缺损均采用菱形皮瓣修复。结果:所有患者Ⅰ期修复,随访6个月~3年,术区皮肤色质正常、瘢痕不明显,无继发明显畸形。术后无复发。结论:菱形皮瓣设计合理、取材方便、操作简便,是临床即时修复头颈部皮肤肿瘤根治性切除术后缺损的较好方法。
OBJECTIVE: To summarize the clinical experience of rhombic flaps in the repair of defects after head and neck skin tumor resection. Methods: From July 2002 to September 2006, 24 patients with head and neck skin cancer were treated. All patients were treated with intraoperative frozen section monitoring specimens and margin, the skin defect range of 1.0cm × 1.5cm ~ 3.0cm × 3.5cm, all defects were repaired with diamond flap. Results: All patients were repaired in stage Ⅰ. The patients were followed up for 6 months to 3 years. The skin quality in the operation area was normal, the scar was not obvious, and no secondary deformity was found. No recurrence after surgery. CONCLUSION: The rhombic flap is reasonable in design, easy to draw and easy to operate. It is a good method to repair the defect of radical resection of the skin of the head and neck in real time.