改良梭形切口在颌面部皮肤良性肿瘤切除中的应用  

Application of Modified Shuttle-like Incision in Benign Skin Tumour in the Maxillofacial Region

作　　者：牟宝秋[1] 战文吉 吕日旭[1] 隋丽萍[1] 张学广[1] 杨秀玉[1] 

机构地区：[1]山东省烟台市莱阳中心医院口腔科,山东265200 [2]山东省莱阳卫生学校五官科教研室,山东265200

出　　处：《上海口腔医学》2000年第4期207-209,共3页Shanghai Journal of Stomatology

摘　　要：目的　设计一种改良梭形切口 ,用于切除颌面部皮肤良性肿瘤。方法　经尸体实验、计算 ,证实此改良切口具有多方面优点后 ,用于切除 2 4例颌面部皮肤良性肿瘤。结果　按肿瘤半径为 0 .5cm、1.0cm、1.5cm计算 ,改良梭形切口节省切除皮肤面积分别为 17.2 2 %、15 .42 %、16 .98% ;缝合切口时无张力 (或张力小 ) ,切口对合线平整 ,隐于皱纹线中 ,无“猫耳”。经 1～ 7a随访 ,切口瘢痕愈合良好。结论　此改良切口优于传统梭形切口 ,可推广应用于切除颌面部皮肤良性肿瘤。Objective To design a modified shuttle like incision for benign skin tumours in the maxillofacial region. Methods Some merits of the modified shuttle like incision was verified through experiment upon Cadavers and accurate mathematical calculation. Then it was used in the resection of 24 patients with benign skin tumour in the maxillofacial region.Results If the radius of the tumours were separately 0.5cm,1.0cm and 1.5cm, the modified shuttle like incision can save the skin area by17.22%,15.42% and 16.98%; no(or little) tension was found in sewing. The sutural lines were levelly concealed in the kraissl's lines and no'cat ear'was found after sewing. After 1 7 years of following up, all of the scars of the 24 cases were appraised as good. Conclusion The modified shuttle like incision was better than the traditional one. It can be performed widely in the clinical operation on benign skin tumours in the maxillofacial region. [

关 键 词：改良梭形切口 颌面部 皮肤良性肿瘤 

分 类 号：R739.8[医药卫生—肿瘤]