CAJ | 학술논문

目的探讨眼睑分裂痣的不同手术方法及效果.方法 2000年1月至2014年1月收治27例27只眼睑分裂痣,2例采用分次切除,20例采用全厚皮片移植,3例采用额部及面部扩张皮瓣修复,另2例因面积较大采用扩张皮瓣联合皮片移植.结果除1例患者因色素痣面积较大遗留0.5 cm×0.5 cm的病变外,其他病例痣全部切除,所有病例伤口均一期愈合.术后随访3～48个月,平均7.4个月,1例患者在皮片移植术后由于对瘢痕不满意而进行了面部扩张器治疗,其他病例对手术效果满意,且未复发,眼睑外形自然,功能正常.结论分次切除及全厚皮片移植是治疗眼睑分裂痣简单有效的方法,面积较大时采取扩张皮瓣或联合全厚皮片移植可以获得较好的治疗效果.
목적 탐토안검분렬지적불동수술방법급효과.방법 2000년1월지2014년1월수치27례27지안검분렬지,2례채용분차절제,20례채용전후피편이식,3례채용액부급면부확장피판수복,령2례인면적교대채용확장피판연합피편이식.결과 제1례환자인색소지면적교대유류0.5 cm×0.5 cm적병변외,기타병례지전부절제,소유병례상구균일기유합.술후수방3～48개월,평균7.4개월,1례환자재피편이식술후유우대반흔불만의이진행료면부확장기치료,기타병례대수술효과만의,차미복발,안검외형자연,공능정상.결론 분차절제급전후피편이식시치료안검분렬지간단유효적방법,면적교대시채취확장피판혹연합전후피편이식가이획득교호적치료효과.
Objective To investigate the surgical techniques and therapeutic effect of eyelid divided nevus.Methods From January 2000 to January 2014,27 cases with 27 eyelid divided nevi were treated by staged excision (2 cases),or full-thickness skin graft (20 cases) or frontal and facial expanded flaps (3 cases),or combined expanded flaps with skin grafts (2 cases) for large lesions.One case with skin graft underwent secondary treatment with expanded flap due to obvious scar.Results Except for one case with residue lesion (0.5 cm× 0.5 cm),all the other cases underwent successful treatment with primary healing.All the patients were followed up for 3-48 months (average,7.4 months).Except for one case with secondary expanded flap treatment,all the other patients were satisfied with aesthetic and functional results.No occurrence happened.Conclusions Staged excision and full-thickness skin grafts are simple and effective method for eyelid divided nevus.For large lesions,expanded flap,or combined with skin graft should be considered.