摘要
目的总结在肿胀麻醉下手术治疗体表神经纤维瘤的初步体会。方法对16例体表神经纤维瘤,应用肿胀麻醉技术,完整或大部分切除神经纤维瘤瘤体后,选择直接分层缝合、植皮或转移皮瓣一期修复创面。结果所有病例术中出血少,术后14天拆线,切口均一期愈合,随访6～36个月,无复发。结论在手术切除体表神经纤维瘤的过程中,应用肿胀麻醉技术,术中出血少,无需输血,降低了手术风险,提高了最大限度切除瘤体的可能性。
Objective To review the experience in the surgical treatment of superficial neurofibroma under tumescent anesthesia. Methods In the tumescent technique, resection was applied to treatment of 16 patients with neurofibroma, and wound were repaired by saturation, dermatoplasty or Flap transplantation. Results All the patients achieved good results in 16 cases. Follow-up was done for 6 to 36 months, there was no recurrence. Conclusion The operation with tumescent anesthesia is an ideal surgical technique for patients with neurofibroma. It is easily performed with less bleeding and risk, and raises the possibility of tumor resection.
出处
《安徽医学》
2009年第8期899-900,854,共3页
Anhui Medical Journal
关键词
神经纤维瘤
肿胀麻醉技术
皮瓣移植
Neurofibroma
Tumescent technique
Flap transplantation
