摘要
目的对71例鼻部皮肤外科手术病例进行回顾性分析,探讨鼻部皮肤外科手术病例的共性、特点。方法根据鼻部皮肤肿瘤的大小、形状、部位及周围皮肤的情况,选择合适的手术方法对鼻部的皮肤肿瘤进行切除及缺损创面的修复。结果患者中位年龄为46岁,男41例,女30例。色素痣的病例最多占45例(63.38%),其次为基底细胞癌占15例(21.13%),表皮囊肿7例(9.86%),脂溢性角化4例(5.63%)。手术中部位鼻侧壁26例(36.62)%,鼻翼21例(29.58%),鼻背19例(26.76%),鼻尖5例(7.04%)。应用单纯闭合手术者46例(64.79%),应用复杂成形技术25例(35.21%)。结论对于发生于鼻部的皮肤肿瘤除应用单纯闭合手术切除外,熟练应用局部皮瓣修复术也很重要,可以使患者获得满意的功能和稳定的美学效果。
Objective To analyze the characteristics and generality of nose diseases of 71 cases treated by dermatologic surgery. Meth- ods The neoplasma was removed and the tissue defect was restored according to the size, shape, location of nasal tumor and the sur- rounding skin conditions. Results of the 71 cases, there were 41 males and 30 females with mean age 46 years old. 45 cases were pig- mented nevi (63.38%) ,and 15 cases were basal cell carcinoma(21.13% ) ; the others were 7cases of epidermal cyst (9.86%) and 4 cases of seborrheic keratosis(5.63% ). The operative site included nasal side in 26 cases (36.62%), nasal ala in 21 cases (29. 58% ) , dorsum of nose in 19 cases (26.76%), nasal tip in 5 cases (7.04%). Cases of primary close occupied 64.79% , and cases applied complex close were 35.21%. Conclusion It was very important to repair the defects of nose by local flap, besides removing na- sal neoplasmas by primary surgery, which would achieve satisfactory function and aesthetic results.
出处
《皮肤病与性病》
2013年第1期13-13,20,共2页
Dermatology and Venereology