负压辅助闭合技术在修复隆突性皮肤纤维肉瘤扩大切除创面中的应用  

Use of a vacuum-assisted closure device in the repair of defect after enlarged excision of dermatofibrosarcoma protuberans

作　　者：陈力[1] 李华[1] 邵雁[1] 

机构地区：[1]浙江大学附属邵逸夫医院整形外科,杭州310016

出　　处：《中华皮肤科杂志》2012年第9期668-669,共2页Chinese Journal of Dermatology

摘　　要：目的探讨修复隆突性皮肤纤维肉瘤扩大切除创面的新方法。方法8例隆突性皮肤纤维肉瘤患者，肿瘤直径2．5～5．5cm，切除后创面直径为12．5～17．5cm。针对扩大切除后的巨大创面，利用筛状皮片及负压辅助闭合技术，修复创面。结果8例患者筛状皮片均一期存活，无感染、无积液、无坏死。随访3～40个月，无1例复发，创面外形与功能均较满意，瘢痕平整，增生不明显。结论负压辅助闭合技术在修复隆突性皮肤纤维肉瘤扩大切除创面中的应用，操作简单，并发症少。Objective To develop a new method to repair the defect after enlarged excision of protuberans. Methods This study included 8 patients with dermatofibrosarcoma protuberans measuring 2.5 to 5.5 cm in diameter. All the patients underwent enlarged excision of the affected skin and subcutaneous tissue. The defect measured 12.5 to 17.5 em in diameter. Sieve skin flaps secured with a vacuum-assisted closure device were used to repair the huge surface defects. Results All the patients experienced the survival of sieve skin flaps at stageⅠ after operation, with no infection, effusion or necrosis. No relapse was observed during the 3 to 40 months of follow up. A satisfactory recovery was achieved in skin appearance and function with the formation of a fiat sear, and no obvious proliferation occurred. Conclusion The vacuum-assisted closure device offers a safe and simple method for securing skin grafts to the defect after enlarged excision of dermatofibrosarcoma protuberans.

关 键 词：隆突性皮肤纤维肉瘤 切除创面 修复创面 负压 应用 肿瘤直径 切除后 大创面 

分 类 号：R739.5[医药卫生—肿瘤]