整形外科手术治疗Ⅰ型神经纤维瘤的疗效及患者满意度分析

Effects of Orthopedic Surgery in the Treatment of Type Ⅰ Neurofibroma and Patients’Satisfaction

目的探讨整形外科手术治疗Ⅰ型神经纤维瘤的疗效及患者满意度。方法以2016年1月~2017年1月洛阳东方医院整形外科收治的符合诊断、纳入排除标准的86例Ⅰ型神经纤维瘤患者为研究对象,入组患者均行整形外科手术治疗,分析患者临床治疗疗效、患者满意度以及术后1年随访复发情况。结果本组80例患者,手术共计86次,其中56例患者接受取皮回植(有14例冻存一周后行取皮回植,42例即刻接受回植),30例接受游离植皮;入组患者均一期创面全部愈合,12例患者术后原位回植处存在皮下血肿,为其进行清创处理以及持续负压吸引治疗后均创面自愈;随访结果发现术后1年两组患者均未见复发病例,且患者对外观和功能均满意。结论整形外科手术治疗Ⅰ型神经纤维瘤患者的疗效确切,修复塑形效果好,术后患者满意度高,有效降低手术风险,可最大限度达到外观及功能恢复的效果。

Objective To investigate the effects of orthopedic surgery in the treatment of type Ⅰ neurofibroma and patients’satisfaction.Methods 86 patients with type Ⅰ neurofibroma who were admitted to the Department of Plastic Surgery,Luoyang Dongfang Hospital between January 2016 and January 2017,and met the diagnoseis,inclusion and exclusion criteria were selected as the subjects.All of them were treated with orthopedic surgery.The clinical effect,patients’satisfaction,and recurrence during 1 year of follow-up after surgery were analyzed.Results The 80 patients in this study underwent a total of 86 times of surgery.Among them,56 patients underwent skin replantation(14 patients undergoing skin replantation after one week of frozen storage,42 patients undergoing immediate replantation),and 30 patients underwent free skin grafting.The wounds of all patients healed by 1st intention,and 12 patients had subcutaneous hematoma after in-situ replantation.Their wounds healed after treatment with debridement and continuous negative pressure suction.The follow-up results showed that there was no recurrence in 1 year after surgery,and the patients were satisfied with the appearance and function.Conclusion Orthopedic surgery is effective in the treatment of patients with type Ⅰ neurofibroma,with good repair and shaping effects.Besides,patients’satisfaction is high,and the risk of surgery is low.It can maximize the effect of appearance and function recovery.