140例特殊部位白癜风皮损的外科处理

Surgical management of 140 cases of vitiligo on special body sites

目的探讨特殊部位白癜风皮损的外科处理方法，以提高白癜风的手术治愈率。方法根据部位的特征性采用不同的方法及术后处理，主要采用头皮缩小、皮瓣转移、毛发移植、皮肤磨削、器官缝合粘连、术后缝合打包等手段。结果经正确的选择治疗方法及术后处理，胡须、眉毛部位有效率94．3％；头皮、颈、眼、眶周、手部位有效率100％；口唇黏膜有效率100％，总有效率98．6％。结论特殊部位白癜风皮损经不同的外科方法处理，可提高治愈率。

Objective To investigate available surgical strategies for the management of vitiligo on special body sites, so as to improve treatment outcome of vitiligo. Methods In total, 140 patients with vitiligo on special body sites collected from 1998 to 2008 were included in this study. Different surgical strategies and postoperative managements were performed according to lesional sites, which mainly included removal of scalp lesions, transfer of flaps, hair transplant, dermabrasion, suturing and adhesion of tissues, tie-over dressing, etc. Results After treatment with appropriate surgical strategies and postoperative management, the effective rate was 94.3% （21/35） for lesions in thebeard and eyebrow area, 100% （70/70） for those on the scalp, neck, eyes, periorbital area, bands and lip mucosa, and the total effective rate amounted to 98.6%. Conclusion The cure rates of vitiligo on special body sites are obviously improved by using different surgical strategies and dispositions.