巨大神经纤维瘤病诊断及整形外科治疗  

Diagnosis and Plastic Treatment with Huge Neurofibromatosis

作　　者：郝永红[1] 宋慧锋[1] 许明火[1] 高全文[1] 李兵园[1] 陈保国[1] 柴家科[1] 

机构地区：[1]解放军总医院第一附属医院烧伤整形科,北京100048

出　　处：《中国美容医学》2013年第16期1724-1727,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨巨大神经纤维瘤病的诊断和的整形外科治疗方法。方法:回顾性分析于2011-2013年收治2例躯干部、臀部巨大神经纤维瘤病的临床资料。结果:肿瘤组织大部分切除,应用邻近皮瓣转移修复继发创面。其中,第1例患者采用血管造影栓塞营养动脉;2例患者术中均行瘤体高位悬吊、瘤体边缘缝扎、术中控制性低血压及自体血回输等方法。随访至今,瘤体无复发,躯干部、臀部外形改善。结论:巨大神经纤维瘤病是一种良性肿瘤,采用整形外科方法切除及皮瓣修复创面,不仅具有切除较彻底、修复塑形效果好的优点,而且有效地提高患者生存质量。Objective To discuss the diagnosis and plastic treatment of Huge Neurofibromatosis. Methods The retrospective analysis of clinical data about the operation of huge Neurofibromatosis from 2011 to 2013. Results Huge Neurofibromatosis was excised subtotally and the wound were repaired by skin flaps .We embolized the nutritional arteries of the tumor in the first case by DSA preoperatively and the tumor in the two cases were suspended ,made hemming -stitch around , lowered the blood pressure and transfused the effluent blood during operation .No comliications occurred in the two cases in follow-up. Conclusion Neurofibromatosis is a benign neoplasm.Huge neurofibromatosis excision yields good result ,the regional contour can be reconstructed by skin flaps.

关 键 词：神经纤维瘤病 诊断 整形外科 手术 

分 类 号：R62[医药卫生—整形外科]