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时间:2020-05-14
《扩大的耳廓组织瓣游离移植修复鼻基底细胞癌术后缺损.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国美容医学2014年10月第23卷第19期ChineseJournalofAestheticMedicine.0ct.2014.Vo1.23.N0.191601·眼耳鼻美容··论著·扩大的耳廓组织瓣游离移植修复鼻基底细胞癌术后缺损刁立君1,刘文礼,李建放,郭文哲(1.保定市第一中心院整形外科河北保定071000;2.河北大学附属医院整形外科)[摘要]目的:探讨应用扩大的耳廓复合组织瓣修复鼻部基底细胞癌扩大切除术后缺损创面的手术方法及适应证。方法:根据患者病理确诊后实施鼻部基底细胞癌扩大切除术,依据缺损范围,采用单侧或双侧扩大耳廓复合组织瓣游离移植进行修复。术中彻底切除癌组织,病
2、理证实切缘(一),将耳廓复合组织瓣游离,楔形植入鼻部缺损区,适度加压包扎固定,术后2周拆线。结果:本组18例患者,均移植成功,外形满意。修复创面面积约2.0~2.5cm,随访患者3~6个月,移植初期创面组织高出鼻部周缘,后期均发生不同程度回缩,与周缘组织融合自然,外形基本满意。结论:通过病理学证实肿物性质,确保周缘阴性,形成扩大创面,选用扩大耳廓复合组织瓣游离移植修复,通过对移植组织块精细缝合和适度加压固定技术,使创面得以修复,外形自然,供区隐蔽。本术式是较理想修复鼻部较大创面的术式选择。[关键词]基底细胞癌;鼻部皮肤缺损;耳廓复合组织瓣;游离移植[中图分类号]R622[文献标识
3、码]A[文章编号]1008-6455(2014)19—1601—03ApplyingcompositetissueflapextendingbehindeartorepairtheregiondefectbecauseoftheresectionofnasalbasalcellcarcinomaDIAOLi—jun1nLIUWen—li11LIJian—fang~,GUOWen—zhe(1.DepartmentofPlasticSurgery,TheFirstCentralHospitalofBaoding,Baoding071000,Hebei,China2.Departmen
4、tofPlasticSurgery,TheAffiliatedHospitalofHebeiUniversity)Abstract:ObjectiveTodiscusstheoperationmethodandindicationofapplyingcompositetissueflapbehindeartorepairtheregiondefectbecauseoftheresectionofnasalbasalcellcarcinomaextending.MethodsToimplementtheresectionofnasalbasalcellcarcinomaextend
5、ing,afterdiagnosingthepatientSpathology.Accordingtodefectrange,torepairtheregiondefectbytransplantingcompositetissueflapexpandedunilaterallyorbilaterally.Inoperation,thecancertissuesareresectedcompletelyandthefreecompositetissueflapistransplatedtotheregiondefect.Thewoundmustpressurizethewrapp
6、roperly.Takingoutstitchesaftertwoweeksofoperation.ResultsThetransplantationissuccessfulamong18patients。About2.Ocmto2.5cmregiondefectisrepaired.Theobservationof3-6monthsshowsthatattheearlystageoftransplantationthewoundtissuestowerabovenasalperiphery,latershrinktodifferentextentandexternalformi
7、ssatisfactory.ConclusionAccordingtopathology,whenthegoitreissuretobefeminine,theregiondefectcanberepairedbythetransplantation,sutureandmoderatefixationtechniqueoffreecompositetissueflapbehindear.AndtheexternalfOrmisnatura1.Sothisoperationisth
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