局部组织瓣即刻修复面部基底细胞癌术后效果及瘢痕形成观察

Scar formation of facial basal cell carcinoma treated with local tissue flap

目的观察158例面部基底细胞癌(BCC)手术切除后即刻进行局部组织瓣修复的临床效果及瘢痕增生情况。方法收集、整理和统计2011年1月—2015年1月就诊于我院皮肤科、整形外科门诊的158例面部BCC患者的临床资料、组织病理资料,观察患者治疗的复发率、局部组织瓣治疗后局部形态的恢复及瘢痕形成情况。结果除5例未进行手术治疗的患者外,153例手术治疗患者随访时间0.5~5年,仅有3例复发,复发率为2%;除3例患者对术后局部形态稍有不满意外,其他患者对局部组织瓣修复后形态均较满意,满意率为98%;仅有10例患者在术后3个月内出现轻度的瘢痕增生,半年后消失。结论 BCC手术切除后即刻进行局部组织瓣修复具有较好的临床效果,瘢痕形成少,美观效果好。

Objective To analyze the clinical effect of local tissue flap repair in 158 cases of facial basal cell carcinoma（BCC） after surgical resection. Methods A total of 158 patients with facial BCC were collected from January 2011 to January 2015, among them 153 cases accepted operation in the department of dermatology or plastic surgery in our hospital. The clinical and pathological data of all the patients were analyzed on the recurrence, recovery and the formation of scar after the treatment of local tissue flap. Results The patients were followed up for 0.5-5 years, and relapse occurred in 3 patients, the recurrence rate was 2%. Except 3 patients who were slightly dissatisfied with the appearance of the repair, the rest of the patients were satisfied with the result of the operation, the satisfaction rate was 98%. Only 10 patients showed slight scars in 3 months after operation and the lesions disappeared 6 months after the operation. Conclusion Repairing the tissue defect by local tissue flap immediately after surgical resection of basal cell carcinoma（BCC） is an effective method, the scar is not obvious and the appearance is satisfactory.