断层皮片切削法在巨痣治疗中的应用  

Treatment of giant congenital melanocytic nevi with split-thickness skin cutting

作　　者：洪帆[1] 黄岩[1] 汪丽玲[1] 修志夫[1] 

机构地区：[1]厦门大学附属中山医院整形外科,福建厦门361004

出　　处：《中国美容医学》2010年第10期1417-1419,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨断层皮片切削法治疗巨痣的临床疗效。方法:采用滚轴式取皮刀切削巨痣达真皮浅层,创面不需植皮,待其自行愈合后配合预防瘢痕增生治疗。结果:6例患儿取得满意效果,3例患儿有少部分色素残留。所有患儿术前术后毛发无明显改变。平均治疗时间为18天。结论:断层皮片切削法治疗巨痣临床效果明显:术后恢复快,色素残留少,皮肤无明显瘢痕形成,可明显改善患者外观。Objective To discuss the clinic curative effect of surgery of split-thickness skin cutting. Methods Cutting GCMNs extend to the superficial dermis with dermatome.As soon as the affected area healed,treated with preventing scar hyperplasia. Results In all cases ,hair has not decreased after surgery.Average therapy time is 18 days. Six cases have satisfactive effect,three cases leaved partial pigment. Conclusion Split-thickness skin cutting is a useful method for the treatment of GCMN,leaves cosmetically satisfactory results：little scathe,few pigment leaved and not evidence scar .

关 键 词：巨痣 断层皮片 瘢痕 

分 类 号：R622[医药卫生—整形外科]