CAJ | 학술논문

目的探讨头面部恶性肿瘤切除后皮肤缺损的修复原则和术式选择.方法对30例头面部基底细胞癌,15例鳞状细胞癌实行肿瘤切除术,术区皮肤缺损创面应用临近皮瓣修复治疗,观察并分析其治疗效果.结果45例移植皮瓣全部成活,切口一期愈合;随访3个月至2年,修复皮肤平整,肤色正常,未出现切缘瘢痕,效果满意,无复发病例.结论邻近皮瓣修复头面部皮肤恶性肿瘤切除术后缺损创面疗效满意,皮肤色泽、厚度及柔软度与受区相似.
목적탐토두면부악성종류절제후피부결손적수복원칙화술식선택.방법대30례두면부기저세포암,15례린상세포암실행종류절제술,술구피부결손창면응용림근피판수복치료,관찰병분석기치료효과.결과45례이식피판전부성활,절구일기유합;수방3개월지2년,수복피부평정,부색정상,미출현절연반흔,효과만의,무복발병례.결론린근피판수복두면부피부악성종류절제술후결손창면료효만의,피부색택、후도급유연도여수구상사.
Objective To investigate the repair principle and operation method of postoperative skin defect after the resection of head-facial skin malignant tumor. Methods Thirty patients with head-facial basal cell carcinoma (BCC) and fifteen patients with squamous cell carcinoma were performed tumor resection and then adopted adjacent skin flap to re-pair the skin defect wounds. The treatment effect was analyzed. Results All the transplanted flaps in the 45 patients were survived and the incisions realized primary healing. During the follow-up of three months to 2 years, the wounds recovered smoothly and the skin was in normal color. No incision scar was left and the treatment effect was satisfying without relapse. Conclusion The application of adjacent skin flap to repair the head-facial skin defect resulting from malignant tumor resec-tion can obtain satisfactory treatment effect in that the skin color, thickness and softness of the repaired skin are similar to the receptor sites.