CAJ | 학술논문

目的：探讨手术治疗线状硬斑病并总结经验。方法针对病情稳定的头面部线状硬斑病43例，根据皮损的面积、部位和萎缩凹陷程度选择相应的外科修复方法。常用术式包括：直接缝合术、皮瓣转移术、软组织扩张术和真皮组织填充术等，4例患者采用多种术式联合修复。结果43例患者中1例术后切口裂开，经2次缝合后达到预期效果。43例患者随访1年，充填区色泽、感觉、血运良好，无明显突起或表面不平，面部外形轮廓与视觉效果良好。皮瓣与周围皮肤组织匹配良好，切口线相对隐蔽，发际线自然流畅，头皮毛发分布均匀，效果满意。结论对于病情稳定的线状硬斑病行手术治疗可以获得较为满意的美容效果。
목적：탐토수술치료선상경반병병총결경험。방법침대병정은정적두면부선상경반병43례，근거피손적면적、부위화위축요함정도선택상응적외과수복방법。상용술식포괄：직접봉합술、피판전이술、연조직확장술화진피조직전충술등，4례환자채용다충술식연합수복。결과43례환자중1례술후절구렬개，경2차봉합후체도예기효과。43례환자수방1년，충전구색택、감각、혈운량호，무명현돌기혹표면불평，면부외형륜곽여시각효과량호。피판여주위피부조직필배량호，절구선상대은폐，발제선자연류창，두피모발분포균균，효과만의。결론대우병정은정적선상경반병행수술치료가이획득교위만의적미용효과。
Objective To evaluate the performance of surgical approaches in the treatment of linear scleroderma of the head and face. Methods Forty-three patients with stable linear scleroderma of the head and face were included in this study. Surgical approaches, which included direct suture,skin flap translocation, soft-tissue augmentation and filling operation with dermal tissues, were selected and utilized alone or in combination according to the size, location and degree of atrophy and depression of lesions. Results After surgical treatment, wound dehiscence developed in one of these patients, but the wound healed after two sessions of suture. During one year of follow up, all the patients achieved favorite color, feeling and blood supply in the filling areas as well as good facial profile and visual appearance with no obvious convexity and concavity. Skin flaps matched well with surrounding tissues, incision lines were inconspicuous, and hairline looked naturally with well-distributed hairs in these patients after treatment. Patients were satisfied with treatment results. Conclusion Satisfied cosmetic outcomes can be achieved by using surgical approaches in patients with stable linear scleroderma of the head and face.