面部皮肤恶性肿瘤外科手术后缺损修复38例

The surgery repair for facial skin defect after malignant tumor excision:report of 38 cases

摘要: 目的：探讨面部皮肤恶性肿瘤的手术切除后缺损修复方法及其效果。方法：对38例面部肿瘤患者进行肿瘤扩大切除术，采用原位缝合、皮片移植或局部皮瓣转移修复缺损。结果：38例中原位缝合11例，植皮13例，局部皮瓣转移14例。除1例皮瓣远端表皮坏死给予换药外，切口均愈合良好。结论：在面部肿瘤的手术治疗中应兼顾外形的恢复，推荐使用全厚皮片、局部皮瓣修复皮肤缺损。

Abstract: Objective:To investigate the methods and results of the surgery repair for facial skin defect after malignant tumor excision. Methods:The facial skin malignancies of 38 cases were cut, then primary closure, free and local skin flap were used to repair the defect. Results:The cut recovery in 11 cases treated with primary closure,13 cases with free skin flap and 14 cases treated with local skin flap were good except 1 case with necrosing at the distal end of epidermis. Conclusions:The free and local skin flap are recommended for repair the facial skin defect after tumor excision, which can restore facial appearance.