CAJ | 학술논문

设计一种改良梭形切口，用于切除颌面部皮肤良性肿瘤。方法经尸体实验、计算，证实此改良切口具有多方面优点后，用于切除24例颌面部皮肤良性肿瘤。结果按肿瘤半径为0.5 cm、1.0 cm、1.5 cm计算，改良梭形切口节省切除皮肤面积分别为17.22％、15.42％、16.98％；缝合切口时无张力(或张力小)，切口对合线平整，隐于皱纹线中，无“猫耳”。经1～7a随访，切口瘢痕愈合良好。结论此改良切口优于传统梭形切口，可推广应用于切除颌面部皮肤良性肿瘤。
설계일충개량사형절구，용우절제합면부피부량성종류。방법경시체실험、계산，증실차개량절 구구유다방면우점후，용우절제24례합면부피부량성종류。결과안종류반경위0.5 cm、1.0 cm、1.5 cm계산，개 량사형절구절성절제피부면적분별위17.22％、15.42％、16.98％；봉합절구시무장력(혹장력소)，절구대합선평 정，은우추문선중，무“묘이”。경1～7a수방，절구반흔유합량호。결론차개량절구우우전통사형절구，가추엄응 용우절제합면부피부량성종류。
Objective To design a modified shuttle-like incision for benign skin tumours in the maxillofacial region. Methods Some merits of the modified shuttle-like incision was verified through experiment upon Cadavers and accurate mathematical calcula tion. Then it was used in the resection of 24 patients with benign skin tumour in the maxillofacial region. Results If the radius of the tumours were separately 0.5cm, 1.0cm and 1.5cm, the modified shuttle-like incision can save the skin area byl7.22 %, 15. 42% and 16.98%; no(or little) tension was found in sewing. The sutural lines were levelly concealed in the kraissl's lines and no”cat ear”was found after sewing. After 1-7 years of following up, all of the scars of the 24 cases were appraised as good. Con clusion The modified shuttle-like incision was better than the traditional one. It can be performed widely in the clinical operation on benign skin tumours in the maxillofacial region