耳廓基底细胞癌应用手术切除并耳后带蒂肌皮瓣一期修复效果观察

Surgical removal and primary repair with pedicle musculocutaneous flap for auricle basal cell carcinoma

目的 分析耳廓基底细胞癌患者的治疗效果。方法 选取2012年1月至2016年1月本院收治的耳廓基底细胞癌患者24例,在安全缘范围带软骨完整切除,选择耳后乳突上对应缺损组织大小肌皮瓣转移一期修复。术后病理确定切除范围安全,不进行放疗。结果 24例患者术后均一期治愈,转移肌皮瓣修复形态完整,手术痕迹隐蔽。术后随访2年及以上均未见复发。结论 耳廓基底细胞癌掌握安全缘切除可以一期达到治愈效果,避免增加放疗,转移肌皮瓣修复组织缺损最大程度保证了形态美观,且选材方便,达到病理和心理双向治疗,在耳廓肿瘤治疗中医疗优势突出。

Objective To analyze the therapeutic effect of patients with basal cell carcinoma of auricle. Methods 24 patients with auricle basal cell carcinoma were treated by complete resection of cartilage in the area of safe margin and took primary repair with pedicle musculocutaneous flap at our hospital from January, 2012 to January, 2016. Determined by postoperative pathology, the scope of excision was safe, and no radiotherapy was performed. Results All the 24 patients were cured in one stage after operation, with complete repair of metastatic musculocutaneous flap and hidden surgical traces. No recurrence was found during 2 years postoperative followup. Conclusion The safe edge resection of auricle basal cell carcinoma can achieve curative effect in one stage, avoid radiotherapy, and the metastatic musculocutaneous flap can repair the tissue defect to the greatest extent, which guarantees the appearance of beauty, and the material selection is convenient, achieving pathological and psychological bidirectional treatment and highlighting the medical advantages in the treatment of auricle tumor.