摘要目的 探讨改良”reading-man”procedure (RMP)皮瓣修复皮肤软组织圆形缺损的效果和意义.方法 2011年1月至2014年6月,应用改良RMP皮瓣修复皮肤软组织圆形缺损24例,男14例,女10例,年龄16～83岁.在设计中,改良RMP皮瓣的中轴线短于RMP皮瓣的中轴线,其皮瓣一臂长为弧线(斧形皮瓣);不对称Z成形术中的两个皮瓣互相移位,斧形皮瓣覆盖圆形缺损,三角皮瓣修复供区缺损.皮瓣蒂基底保留穿支血管.结果 创面均在低张力下闭合,皮瓣全部成活,随访1～6个月,瘢痕不明显,肿瘤无复发,皮瓣与周围组织匹配,外观较满意.结论 改良RMP皮瓣是修复不同部位、不同大小圆形缺损可行有效的方法.

abstractsObjective To evaluate the improved "reading-man" procedure (RMP) flap for closure of circular skin defect.Methods From January 2011 to June 2014,the improved RMP flap has been used for closure of the circular skin defects in 24 patients (14 men and 10 women) aged from 16 to 83 years.In this technique,the length of the central limb of the improved RMP flap was shorter than one of the RMP flap and the limb of the flap 1 was arc line.Then,the circular defect was closed by transposition of two skin flaps designed in an unequal Z-plasty manner.The first flap (hatchet) was transposed to the defect area whereas the second flap (triangle) was used for closure of the first flap's donor site.The perforator of the flap provided its vascular basis.Results Tension-free defect closure was obtained in all patients and the all flaps survived.A follow-up of 1-6 months revealed an esthetically acceptable scar formation in all patients.No tumor recurrence occurred,and the repaired tissues were well matched with surrounding tissue.The cosmetic results were satisfactory.Conclusions The improved RMP flap seems to be an easy going and useful alternative for the closure of circular skin defects with different sizes and locations.