Zhou Yichong,Zhao Xiong,Dai Yefeng,et al.Application of local flap for tissue defect after facial nevus excision in children[J].Journal of Clinical Pediatric Surgery,2024,(04):382-386.[doi:10.3760/cma.j.cn101785-202403060-015]
局部皮瓣修复儿童面部色素痣切除后组织缺损的效果观察
- Title:
- Application of local flap for tissue defect after facial nevus excision in children
- Keywords:
- Nevus; Pigmented; Reconstructive Surgical Procedures; Treatment Outcome; Child
- 摘要:
- 目的 观察采用局部皮瓣修复儿童面部色素痣切除后组织缺损的临床疗效。 方法 回顾性分析浙江大学医学院附属儿童医院烧伤整形外科2018年1月至2022年1月收治的246例采用局部皮瓣修复的儿童面部色素痣切除后组织缺损患儿临床资料,总结患儿临床特征、病变位置及大小、皮瓣设计要点及术后外观改善情况。 结果 246例均皮瓣成活,切口均一期愈合;术后随访9个月至3年,无一例明显瘢痕增生或正常组织牵拉致外观畸形发生,外观改善均满意;246例瘢痕美容评估与评级量表(scar cosmesis assessment and rating,SCAR)评分(3.49±1.58)分,其中62例(62/246,25.2%)评分0~2分,为十分满意;138例(138/246,56.1%)评分3~4分,为比较满意;35例(35/246,14.2%)评分5~7分,为相对满意;11例(11/246,4.5%)评分>7分,为不满意;手术效果总体评分满意率为95.5%(235/246)。 结论 根据不同的面部美容分区选择合适的局部皮瓣来修复色素痣切除后的皮肤缺损,具有皮瓣成活佳、可避免局部组织牵拉、后期瘢痕不明显等优点,可获得良好的美容效果。
- Abstract:
- Objective To observe the efficacies of local flap for tissue defect after facial nevus excision in children. Methods From January 2018 to January 2022,retrospective analysis was performed for 246 children with facial nevus.Clinical features,lesion location/size,essential points of flap design and postoperative appearance improvements were recorded. Results All cases achieved primary healing and skin flap survived well.During a follow-up period of (9-36) months,there were satisfactory appearances without no obvious scar.Scar cosmesis assessment and rating (SCAR) score was (3.49±1.58) and the satisfaction of surgical efficacy reached 95.5%. Conclusions Using appropriate local flaps for repairing skin defect is effective in minimizing scar after facial nevus excision in children.
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备注/Memo
收稿日期:2023-03-05。
基金项目:浙江省基础公益研究计划(LGF20H150005)
通讯作者:赵雄,Email:6196001@zju.edu.cn