摘要
目的回顾性总结应用肿瘤整形外科技术修复头皮肿瘤切除后继发创面的经验,探讨其优势。方法对38例头皮良、恶性肿瘤患者依照肿瘤处理原则,在切除肿瘤后,对继发缺损创面分别采用植皮、邻位皮瓣、大网膜+皮片游离移植、皮肤软组织扩张等方法进行修复。结果 38例中4例皮瓣远端小部分坏死,创面延期愈合;3例皮片部分(10%～15%)坏死或水疱形成;1例扩张器外露;1例大网膜坏死;29例伤口Ⅰ期愈合。20例经3个月～12年随访:1例因所植皮片部分菲薄而出现小面积溃疡,经再次植皮后痊愈;3例死亡(肺部转移2例,脑溢血1例);16例外形较满意。结论头皮肿瘤切除后的继发缺损创面用整形外科技术进行完好修复,可减轻或消除患者的心理负担,提高生存质量。
Objective To summary the application of oncoplastic surgery technique to repair the scalp after tumor resection,and discuss its advantage.Methods The scalp of 38 patients with benign and malignant tumors were resected in accordance with the principle of tumor treatment,secondary defects were repaired by skin graft,adjacent flap,free transplantation of epiploon plus skin graft and tissue expansion respectively.Results In all 38 cases,skin flap partial occurred necrosis in 4 cases;skin graft partial occurred necrosis （10%-15%） or the formation of blisters in 3 cases;1 case exposed expanders;free transplantation of epiploon occured necrosis in 1 case;wound healed at stageⅠin other 29 cases.20 cases carried out 3 months to 12 years of follow-up：1 case of small ulceration because of thinner skin grafts;3 cases of death （lung metastasis in 2 cases,cerebral haemorrhage in 1;appearances of 16 cases were satisfactory.Conclusions Oncoplastic surgery technique can be used in secondary defect wound after resection of scalp tumor,improve life quality of patients.
出处
《中国肿瘤外科杂志》
CAS
2012年第2期72-75,共4页
Chinese Journal of Surgical Oncology
