[1]赵亚楠,康晓静,于世荣,等. 头面部皮肤恶性肿瘤及癌前病变手术切除和创面修复的方法探讨[J].中国美容医学,2018,(12):28-30.
 ZHAO Ya-nan,KANG Xiao-jing,YU Shi-rong,AN Cai-xia,LUO Dong,ZHANG Jing-zhan[J].Medical Aesthetics and Beauty,2018,(12):28-30.
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 头面部皮肤恶性肿瘤及癌前病变手术切除和创面修复的方法探讨
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年12期
页码:
28-30
栏目:
出版日期:
2018-12-20

文章信息/Info

Title:
ZHAO Ya-nan,KANG Xiao-jing,YU Shi-rong,AN Cai-xia,LUO Dong,ZHANG Jing-zhan
文章编号:
1008-6455(2018)12-0028-03
作者:
赵亚楠康晓静于世荣安彩霞罗 东张景展
关键词:
 [关键词]创面修复恶性肿瘤癌前病变头面部皮瓣植皮修复手术切除
Keywords:
Key words: wound repair malignant tumor precancerous lesions head and face skin flap skin graft repair surgical resection
分类号:
R622
文献标志码:
A
摘要:

[摘要]目的:探讨头面部皮肤恶性肿瘤及癌前病变手术切除和创面修复的方法。方法:58例头面部恶性肿瘤及癌前病变患
者,根据恶性肿瘤手术原则,彻底切除病灶,应用原位缝合9例,游离皮片18例,局部皮瓣31例的方法进行修复。结果:本
组58例,除1例皮片移植表皮部分坏死,经换药治疗伤口二期愈合外,其余植皮及皮瓣均一期修复,供区均一期愈合,颜面
部外观满意。完成随访的42例中,1例面部鳞癌经局部皮瓣修复术后1年复发,再次扩大切除行皮片移植术后随访3年未见复
发,其余41例均未见复发。结论:对于头面部恶性肿瘤及癌前病变应早期诊断,依据恶性肿瘤的治疗原则彻底切除病灶,术
中快速冰冻切片可降低复发率,修复缺损应最大程度兼顾缺损区域功能和外形。
Abstract:

Abstract: Objective To investigate the methods of resection and wound repair of skin malignant tumor and precancerous
lesions in the head and face. Methods There were 58 patients with head and face malignant tumors and precancerous lesions,
according to the principle of malignant tumor surgery, the focus were thorough excision, 9 cases were repaired with orthotopic
suture, 18 cases with free skin grafting and 31 cases with local skin flap. Results All the cases in this group were primary repair
and primary healing, except for one case of which the skin grafting surface was partly necrosis,and healed in secondary. Among
42 cases with foIlow up, one case of facial squamous cell carcinoma recurred 1 year after local skin flap repair, no recurrence
was found in 3 years of follow-up after extended resection and skin graft, and no recurrence was found in the remaining 41 cases.
Conclusion For head and face malignant tumors and precancerous lesions, it should be early diagnosed and completely resected
according to the treatment principle of malignant tumors. Rapid frozen section during surgery can reduce the recurrence rate, and
the function and shape of the defect area should be taken into account to the greatest extent for the repair of defects.

参考文献/References:

 Surgical Resection and Wound Repair for Cutaneous and Malignant Precancerous Lesions of the Head and Face

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更新日期/Last Update: 2019-01-08