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鼻部皮肤的恶性病变较面部其他部位皮肤的发病率为高,其中以基底细胞癌较鳞状细胞癌更多见,二者之比约为5:1。鳞癌多见于鼻小柱及鼻翼,而基底细胞癌则常见于鼻的其他部位。一般发生的年龄在50~60岁之间。鼻皮肤癌多发生于长年累月与日光接触,暴露于紫外线的职业患者。鼻皮肤癌的治疗中,放疗虽有效,但易继发鼻软骨坏死,放射性皮炎,且对皮肤敏感患者是致癌的因素。外科治疗对直径不超过2厘米的病变可手术切除后,直接缝合创口,如创面缺损较大则需用额部或其他部位的皮瓣修复之。作者复习了封闭鼻皮肤缺损的各种手术方法,认为:
The incidence of malignant lesions in the nasal skin is higher than that in other parts of the face, with basal cell carcinoma being more common than squamous cell carcinoma, with a ratio of about 5: 1. Squamous cell carcinoma more common in the nasal column and nose, and basal cell carcinoma is common in other parts of the nose. The average age of 50 to 60 years old. Nasal skin cancer occurs in many years in contact with sunlight, exposure to ultraviolet occupational patients. In the treatment of nasal skin cancer, radiotherapy is effective, but secondary to nasal cartilage necrosis, radiation dermatitis, and skin-sensitive patients are carcinogenic factors. Surgical treatment of lesions less than 2 cm in diameter can be surgically resected, direct suture wounds, such as a larger defect on the wound need to use the forehead or other parts of the flap repair. The authors reviewed various surgical methods of occluding nasal skin defects and concluded that: