摘要
目的：探讨巨大神经纤维瘤的整形外科修复方法。方法回顾性分析总结2003年8月至2013年12月,我院收治21例神经纤维瘤患者的治疗方法。21例患者中,4例为孤立性神经纤维瘤；17例为神经纤维瘤病,其中头面部巨大神经纤维瘤8例,躯干部及四肢巨大神经纤维瘤9例。结果4例孤立性神经纤维瘤均彻底切除,其中直接缝合1例,皮片移植修复3例；17例神经纤维瘤病中,8例头面部巨大神经纤维瘤行部分切除直接缝合6例,扩张皮瓣修复2例；9例躯干及四肢巨大神经纤维瘤行肿瘤切除后,瘤体表面皮肤反鼓切取制成中厚皮片回植5例,完全或部分病灶切除直接缝合4例。20例患者获随访7个月至10年,1例因肿瘤内出血死亡,1例复发,其余外形与功能尚满意。结论采用整形外科技术切除巨大神经纤维瘤,联合使用多种止血方式,具有出血少,切除较彻底,修复塑形好的优点,能达到外观和功能恢复的最佳效果。
Objective To study the plastic surgical restorative procedure of giant neurofibroma. Meth-ods Retrospective analysis was carried out in 21 cases of neurofibroma admitted in our department from August 2003 to December 2013. There were solitary neurofibroma in 4 cases and neurofibromatosis in 17 cases, among them, 8 cases of giant neurofibroma were located on head and face, 9 cases of giant neurofibroma on trunk and extremities. Results 4 cases of solitary neurofibromas were excised totally, one was directly sutured and three wounds were repaired by shin graft. 8 cases of giant neurofibroma located on head and face were partly excised, and six wounds were directly sutured, two of them were repaired by expanded flaps. Of nine cases of giant neuro-fibroma which were located on trunk and extremities, five focuses were excised totally and repaired with split-thickness skin grafts harvested from tumor skin. Others were excised partly and directly sutured. All of patients were satisfactory with their contour. 20 patients were followed up from seven months to ten years post-operation, the results showed that one patient died from internal hemorrhage in tumor, recurrence appeared in a case, and the appearance and function were still satisfactory in other cases. Conclusion To giant Neurofibroma, several ways might be made carefully to Handling well the surgical bleeding. Plastic surgical treatment of neurofibroma can yield good results with complete excision and better reconstruction. The reconstructive operation might be the best recovery of the visage and function.
出处
《中国美容整形外科杂志》
CAS
2015年第8期466-468,共3页
Chinese Journal of Aesthetic and Plastic Surgery
