CAJ | 학술논문

目的：回顾性分析2003年-2013年229例色素痣患儿的临床资料，总结儿童色素痣的手术治疗经验。方法：对229例色素痣患儿的治疗资料进行统计分析，随访及评价术后治疗效果。结果：本组患儿均一期愈合。获随访189例，随访时间1月至半年，其中优146例，良20例，一般18例，差5例；所有行手术切除、皮瓣转移者未并发明显瘢痕增生或挛缩，皮肤色泽和弹性与正常皮肤接近，效果满意。结论：儿童色素痣以中小面积为主，手术治疗仍以一期完全切除为主，分期切除或切除加植皮次之。痣切除后，人工真皮一期覆盖加自体皮二期覆盖的手术方式是治疗巨痣的新方法，但治疗周期长、近期瘢痕增生是其不足，远期效果尚需观察。
목적：회고성분석2003년-2013년229례색소지환인적림상자료，총결인동색소지적수술치료경험。방법：대229례색소지환인적치료자료진행통계분석，수방급평개술후치료효과。결과：본조환인균일기유합。획수방189례，수방시간1월지반년，기중우146례，량20례，일반18례，차5례；소유행수술절제、피판전이자미병발명현반흔증생혹련축，피부색택화탄성여정상피부접근，효과만의。결론：인동색소지이중소면적위주，수술치료잉이일기완전절제위주，분기절제혹절제가식피차지。지절제후，인공진피일기복개가자체피이기복개적수술방식시치료거지적신방법，단치료주기장、근기반흔증생시기불족，원기효과상수관찰。
Objective Retrospective analysis was made upon clinical data of 229 children with melano?cytic nevi to summarize the treatment experience. Methods Medical records of treatment of 229 chil?dren with melanocytic nevi were statistically analyzed and the effect of treatment was followed up after surgery. Results All the patients were cured.A total of 189 cases of patients were followed up,fine effect for optimal with 146 cases,beter effect for 20 cases,the effect is a regular in 18 cases,the effect is poor in 5 cases.These cases were followed up for 1 month to six months.Hyperplastic scar and scar contracture didn’t happen after operation.The found appeared almost normal color and good elasticity,and got de?sirable effect. Conclusion The lesion area of children with melanocytic nevi, mostly are small or medi?um-sized. The single complete resection is always the first choice for us to treat melanocytic nevi, and the serial partial excision or skin-grafting were taked the second place.It’s a new way to use the artificial dermis to cover the wound in the one-stage operation combining with the autologous skin to cover the wound in the second-stage operation to treat the giant nevus.However the long cycle of therapy and hy?perplastic scar developing in the early stage are the problem,the long-term effect should be followed up.