刃厚皮片切削法治疗幼儿先天性巨痣初探

The tangential excision of razor graft for the giant congenital naevi in children

目的 探讨应用刃厚皮片切削法对先天性巨痣的治疗效果。方法 采用电动取皮机切取刃厚皮片的方法切除巨痣表层皮肤 ,残留部分采用皮肤磨削法去除。结果 16例患儿中 9例取得了满意效果 ,肤色接近正常 ,偶有色素沉着和小面积瘢痕形成。 6例明显改善 ,1例复发。结论 刃厚皮片切削法对治疗大部分幼儿先天性巨痣有明显效果 。

Objective To study the therapeutical effect of the tangential excision of razor graft for the spacious giant congenital naevi in children. Methods The surface layer of the giant naevi, mainly razor graft, was excised tangentially using electrical dermatome. Then the left naevi was removed by dermabrasion. Results The satisfactory effects were obtained in 9 of 16 cases. The colour of operarative area approached the normal skin, occasionally with scattered pigmentation and hypertrophic scars. In 6 cases, the colour appeared lighter than before. One case relapsed after half a year. Conclusions The congenital giant naevi in children could be treated using the tangential excision of razor graft. The short-term results might be expected. ;