鱼嘴形切口在色素痣分次手术切除中的临床应用

The Clinical Application of Fish-mouth Shaped Incision Used in Fractional Surgical Resection of Pigmented Nevus

目的:探讨鱼嘴形切口在色素痣分次手术切除中的临床应用效果。方法:对30例中小面积色素痣患者采用鱼嘴形切口进行分次切除治疗,每次间隔3～6个月,切除至皮损缩小到能够直接切除缝合。结果:本组30例色素痣患者采用鱼嘴形切口分次切除治疗后,术区切口均一期愈合,无并发症发生,随访6～18个月,无复发,皮损周围组织无明显牵拉变形现象,最终术区瘢痕不明显,视觉效果良好,医师与患者均对治疗后效果满意。结论:鱼嘴形切口在色素痣的分次切除中克服了传统梭形切口长宽比较大的缺陷,增加了皮损单次切除面积,减少了手术总治疗次数,操作方法相对简单,值得临床推广应用。

Objective To explore the significance of the clinical application of fish-mouth shaped incision used in fractional surgical resection of pigmented nevus.Methods Thirty patients with small and medium-sized pigmented nevus were treated with fish-mouth shaped incision.The interval of surgical treatment was 3 to 6 months.We keep using this operation till the lesion was small enough to take a direct resection.Results In this group,30 patients with pigmented nevus were treated with fish-mouth shaped incision,all the incisions were healed in one stage without complications.After 6 to 18 months of follow-up,There was no recurrence or obvious deformation.The final scar in the operation area are not obvious,and the visual effect are great.Both the physician and the patient are satisfied with the treatment.Conclusion Fish-mouth shaped incision overcomes the shortcomings of traditional fusiformis incision,increases the single excision area of skin lesions,reduces the total number of operations,and it is relatively simple to operate.It is deserves to be promoted.