面颈部色素痣不同手术切口疗效比较  

Comparison of Effects of Defferent Operation Ways in Treatment of Pigmented Nevus on Face and Neck

作　　者：袁瑞红[1] 魏韩笑 代晓明[1] 李逸松[1] 赵娴[1] 赫佳[1] 刘博言 刘流[1] YUAN Rui-hong;WEI Han-xiao;DAI Xiao-ming;LI yi-song;ZHAO Xian;HE Jia;LIU Bo-yan;LIU Liu(Dept. of Plastic surgery,The 1st Affiliated hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第一附属医院整形外科,云南昆明650032

出　　处：《昆明医科大学学报》2016年第6期127-129,共3页Journal of Kunming Medical University

基　　金：云南省社会发展科技计划基金资助项目(2014RA073)

摘　　要：目的对面颈部色素痣组患者的疗效观察与统计,获得色素痣手术治疗最佳疗效的方法,为临床提供指导.方法回顾昆明医科大学第一附属医院皮肤科、整形外科2013年1月到2015年10月间诊治过的面颈部色素痣的1 100例患者,对其各个部位进行不同的2种术前设计,对治疗效果,主要是患者的满意度进行统计学分析.结果 1 100例患者中,仅有颈项部20例患者瘢痕有轻度增生,其余患者均较满意;特殊部位即口周、鼻周、眼周的患者,分别采用沿肌肉方向、弧形、沿皮纹方向的切口设计,与相应部位沿皮纹、直线、平行切口相比,患者术后获得的满意度较高(P<0.05).结论在面颈部的色素痣手术治疗中,手术切口的设计需要动静结合,切口的设计直接影响到术后效果及患者的满意度.Objective Through clinical observation and statistics,to get the best curative effect of surgical operation in treating pigment nevus method and provide clinical guidance. Methods We reviewed of face and neck patients (1100 patients) with pigmented nevus in the department in the department of the dermatology,plastic surgery from January 2013 to October 2015,two different methods was designed on each parts and effect of the treatment,especially satisfaction degree was analyzed by statistical methods.Results In 100 cases of patients, only 20 patients had mild scar hyperplasia at the neck incision and the rest of the patients were satisfactory. For special parts such as mouth,nose and eye around,along thedirection of the muscle, arc and along the direction of dermatoglyph incision was designed respectively, patients obtained with higher postoperative satisfaction( < 0.05) . Conclusion In pigmented nevus of face and neck surgery treatment, surgical incision design requires dynamic and static combining method,incision design is important for the postoperative effect and patients' satisfaction.

关 键 词：色素痣 美学 手术治疗 

分 类 号：R622[医药卫生—整形外科]