摘要
目的探讨面部皮肤肿物切除术后的美容修复方法。方法2008年1月至2019年1月,西安国际医学中心医院烧伤整形科对156例患者(男95例,女61例,年龄17~91岁,平均54.6岁)面部皮肤肿物行手术切除,继发创面采用直接缝合、局部及远位皮瓣予以修复。结果良性肿瘤101例中39例继发创面采用皮瓣修复,62例予以直接缝合;23例术后随访6个月至6年,术区功能与外形均满意。面部恶性肿瘤55例中3例继发创面以自体或全厚皮片修复,32例以皮瓣修复;20例直接予以缝合。移植皮片与皮瓣均全部成活,所有伤口均一期愈合。44例术后随访6个月至5年,9例术后局部复发。结论面部皮肤肿物切除术后继发创面应根据患者具体情况制定出个体化的修复方案,方能取得较好的美容修复效果。
Objective To explore the methods of plastic and cosmetic repair after resection of skin tumor on facial region.Methods From January 2008 to January 2019,156 patients(95 males and 61 females,17-91 years old,with an average age of 54.6 years)were underwent surgical resection of facial skin tumors in the Burns and Plastic Surgery of Xi'an Medical International Center Hospital.The secondary wounds were repaired with direct suture,local and distant skin flaps.Results In 101 cases of benign tumors,39 cases of secondary wounds were repaired with flaps,and 62 cases of secondary wounds were directly sutured.The 23 patients were followed up for 6 months to 6 years,and the function and appearance of the operation area were satisfactory.In 55 cases of facial malignant tumor,secondary wounds were found after resection,3 cases were repaired with autologous medium or full thickness skins,32 cases were repaired with skin flaps,and 20 cases were directly sutured.All skin grafts and flaps survived 100%and all wounds were primarily healed.Forty-four cases were followed up for 6 months to 5 years,and 9 cases had local recurrence.Conclusions After facial skin tumor resection,the secondary wound should be customized according to the specific situation of the patient,so as to achieve better cosmetic repair effect.
作者
张诚
刘毅
肖斌
李小强
李世龙
Zhang Cheng;Liu Yi;Xiao Bin;Li Xiaoqiang;Li Shilong(Department of Burns and Plastic Surgery,Xi'an Medical International Center Hospital,Xi'an 710100,China;Department of Burn and Plastic Surgery,the 940th Hospital of Joint Logistic Support Force of Chinese PLA.Lanzhou 730050,China)
出处
《中华医学美学美容杂志》
2020年第6期472-474,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
