老年人外耳皮肤恶性肿瘤术后创面缺损的修复

Clinical analysis of surgical therapy for elderly skin malignant tumors of ears

目的:分析老年人外耳皮肤恶性肿瘤的临床类型和探讨手术切除后创面缺损修复的方法和效果,为临床提供理想的修复方案。方法:根据外耳皮肤恶性肿瘤的临床类型和解剖特点,采用手术方法彻底切除病变组织,术中病理显示无残癌组织后,对外耳创面缺损进行直接缝合和皮肤移植以及耳局部皮瓣修复。结果:外耳皮肤恶性肿瘤共11例,基底细胞癌2例(18.18%),鳞状细胞癌7例(63.64%),棘皮角化瘤2例(18.18%)。修复方法中皮肤移植2例,星形切除直接缝合2例,耳局部皮瓣修复7例。9例随访3年未见复发。结论:鳞状细胞癌为老年人外耳常见的皮肤恶性肿瘤临床类型,局部皮瓣是常用的修复方法,对于皮肤和软骨组织缺损较大的残耳应用耳局部皮瓣修复是治疗老年人耳部皮肤恶性肿瘤较为理想的方法。

Objective To analysis clinical types and evaluate the clinical effects of surgical therapy for elderly skin malignant tumors of ears.Methods Based on clinical type of tumors,pathological tissues were removed,skin and cartilages defects were repaired for simple suture,skin graft and skin flap.Results Elderly skin malignant tumors of ears were 11 cases.Basal cell carcinoma was 2 case（18.18%）.Squamous cell carcinoma was 7 cases（63.64%）.Keratoacanthoma was 2 cases（18.18%）.2 cases were skin graft,2 cases were simple suture,7 cases were repaired for skin flaps.Followed up 9 cases was not recure after 3 years.Conclusion Squamous cell carcinoma was common clinical type for elderly skin malignant tumors of ears.The skin flap of ears is an ideal method to repair defects of elderly skin malignant tumors of ears.