体表恶性肿瘤和顽固性创面的整形外科治疗

Plastic surgical treatment for malignant soft tissue tumors and refratory wounds

目的探讨结合应用整形外科的技术治疗体表恶性肿瘤和顽固性创面的优越性。方法根据体表恶性肿瘤和顽固性创面的性质、部位和大小，将恶性肿瘤边缘以及基底3～5cm正常组织切除，顽固性创面彻底清创，再根据组织缺损的部位和面积，选择邻近部位的带蒂皮瓣或肌皮瓣、游离皮瓣即刻修复。结果2003至2006年临床应用21例，所有皮瓣完全成活，术后随访2～3年，体表恶性肿瘤除1例复发需再次手术切除重新修复外，其他病例无复发且外形恢复良好；顽固性溃疡创面完全愈合。结论将整形外科技术结合应用于体表恶性肿瘤和顽固性溃疡创面的治疗，术后能得到更好的恢复，得到更好的效果。

Objective To investigate the advantages of plastic surgical treatment for malignant soft tissue tumors and refractory wounds. Methods According to the lesion type, location, and size, malignant tumors were excised including the 3 - 5 cm normal tissue around the tumor and the refactory wounds were debrided completely. The adjacent flaps or musculocutaneous flaps, or free flaps were selected to repair the defect. Results From 2003 to 2006, 21 cases were treated. All the flaps survived completely. The patients were followed up for 2 - 3 years with relapse in only one case with tumor. All the refractory wound healed. Conclusions Excellent results can be achieved with plastic surgical technique for malignant soft tissue tumors and refractory wounds. Plastic surgical technique enhances the therapeutic effect of other surgical treatment.