高龄患者头面部皮肤恶性肿瘤术后的修复

吕建刚; 梁巧瑾; 齐金星; 吕梦葛

doi:10.13201/j.issn.1001-1781.2015.17.005

高龄患者头面部皮肤恶性肿瘤术后的修复

- 1 郑州市中医院耳鼻咽喉头颈外科(郑州, 450007);
- 2 河南省肿瘤医院头颈科;
- 3 南昌大学玛丽女王学院

详细信息

通讯作者: 吕建刚,E-mail:jianganglv2008@163.com

中图分类号: R739.62

收稿日期: 2015-01-20

Postoperatively repair methods of head and facial skin malignancies in the advanced ages

- 1 Department of Otorhinolaryngology-Head and Neck Surgery, the Traditional Chinese Medical Hospital of Zhengzhou, Zhengzhou, 450007, China;
- 2 Department of Head and Neck Surgery, the Tumor Hospital of Henan Province;
- 3 Nanchang University Queen Mary School

More Information

Corresponding author: LV Jiangang, E-mail: jianganglv2008@163.com

Received Date: 20 January 2015

摘要

摘要: 目的:探讨高龄患者(>80岁)头面部皮肤恶性肿瘤术后修复方法及临床效果。方法:对18例头面部皮肤恶性肿瘤患者采用Mohs显微描记技术切除肿瘤。术后根据患者局部及全身情况选择不同的修复方法:游离植皮2例;局部皮瓣转移12例,包括旋转皮瓣6例,滑行皮瓣4例,鼻唇沟皮瓣2例;易位皮瓣4例。结果:18例患者手术均顺利完成,无特殊并发症发生;皮瓣均完全成活,其中皮瓣部分坏死1例,经换药治疗1个月后痊愈。随访6个月~2年,肿瘤无复发,功能外形恢复满意。结论:头面部皮肤恶性肿瘤的术式选择应结合患者的年龄、肿瘤情况及全身状况等综合考虑。高龄患者头面部皮肤恶性肿瘤应根据具体情况选择不同的修复方法,以简单易行、快捷、创伤小为宜。
- 高龄 /
- 面部肿瘤 /
- 外科手术
Abstract: Objective: To investigate postoperatively repairing methods and their clinical effects of the olders over 80 years old with head and facial skin malignancies.Method: Eighteen cases of skin cancers in the head and face, whose malignancies were resected with Mohs microscopic surgery, according to the local or systemic condition of patients after surgery we choose different repairing methods: free skin flap grafting in 2 cases, local skin flap transferring 12 cases; including rotation skin flap grafting 6 cases, sliding flap 4 cases, nasolabial flap 2 cases; transposition flap 4 cases.Result: Operations of the 18 cases went well without special complications. All of the flaps were alive with partial flap necrosis in 1 case, which was cured 1 month later by dressing changes. During the follow-up period ranged from 6 months to 2 years,no tumor recurred,the functional recovery and appearance were satisfactory.Conclusion: Choosing operating methods in head and facial skin malignancies should consider patients'age,disease state and general condition. Reparing methods of Head and facial skin malignancies in the advanced ages should be selected according to their specific circumstances , especially the simple ,convenient and rapid with less trauma way.
- advanced age /
- facial neoplasms /
- surgery

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参考文献(6)

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