CAJ | 학술논문

目的：介绍应用鼻唇沟皮下组织带蒂岛状皮瓣进行鼻部皮肤肿瘤手术切除后创面修复的安全性、操作要点、临床体会及手术疗效。方法：针对不同性质的鼻部皮肤肿瘤尤其是恶性肿瘤，当范围超过10mm，应用鼻唇沟皮下组织蒂岛状皮瓣进行鼻部手术创面的修复，供区鼻唇沟切口直接拉拢缝合。结果：对15例病例应用此方法治疗，均取得了满意的手术效果，皮瓣全部成活，术后鼻部瘢痕不明显，外观无变形，供区鼻唇沟无明显瘢痕增生。结论：鼻部皮肤肿瘤（＞10mm）无法直接切除拉拢缝合关闭创面，应用鼻唇沟皮下组织蒂岛状皮瓣进行创面修复，取得良好的手术效果。手术创伤小、操作简单，具有较大的临床应用价值。
목적：개소응용비진구피하조직대체도상피판진행비부피부종류수술절제후창면수복적안전성、조작요점、림상체회급수술료효。방법：침대불동성질적비부피부종류우기시악성종류，당범위초과10mm，응용비진구피하조직체도상피판진행비부수술창면적수복，공구비진구절구직접랍롱봉합。결과：대15례병례응용차방법치료，균취득료만의적수술효과，피판전부성활，술후비부반흔불명현，외관무변형，공구비진구무명현반흔증생。결론：비부피부종류（＞10mm）무법직접절제랍롱봉합관폐창면，응용비진구피하조직체도상피판진행창면수복，취득량호적수술효과。수술창상소、조작간단，구유교대적림상응용개치。
Objective Introduction on the safety measures,essential operational procedures,clinical experience and clinical effect of nasolabial subcutaneous pedicle flap used in reconstruction after resection of nasal skin tumor. Methods Depending on the properties of nasal skin tumor,especially the malignant tumor,with an affected area over 10mm,using nasolabial subcutaneous pedicle island flap have further advanced our ability to provide reconstructive options,the donor site of the nasolabial fold can hereafter be addressed directly with surgical sutures. Results In all of the 15 cases have achieved satisfactory results,evaluation on survival of the flaps are all intact and desirable.Leaving no obvious deformation nor scar formation in the nose region and the donor site. Conclusion After removal of nasal skin tumor with an diameter over 10mm,the resulting secondary defect can not be sutured directly,and nasolabial subcutaneous pedicle flap provides an treatment method to such complex wounds.As an result,the reconstruction outcome are desirable.This method of recontruction is easy to operate and resulting an minimum trauma,hence useful in clinical application.