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目的:探讨高龄患者(>80岁)头面部皮肤恶性肿瘤术后修复方法及临床效果。方法:对18例头面部皮肤恶性肿瘤患者采用Mohs显微描记技术切除肿瘤。术后根据患者局部及全身情况选择不同的修复方法:游离植皮2例;局部皮瓣转移12例,包括旋转皮瓣6例,滑行皮瓣4例,鼻唇沟皮瓣2例;易位皮瓣4例。结果:18例患者手术均顺利完成,无特殊并发症发生;皮瓣均完全成活,其中皮瓣部分坏死1例,经换药治疗1个月后痊愈。随访6个月~2年,肿瘤无复发,功能外形恢复满意。结论:头面部皮肤恶性肿瘤的术式选择应结合患者的年龄、肿瘤情况及全身状况等综合考虑。高龄患者头面部皮肤恶性肿瘤应根据具体情况选择不同的修复方法,以简单易行、快捷、创伤小为宜。
Objective: To investigate the method and clinical effect of postoperative repair of malignant tumors of the head and face in elderly patients (> 80 years old). Methods: The tumors were removed by Mohs microscopy in 18 patients with head and face malignant tumors. According to the local and systemic conditions of patients, different repair methods were chosen: free skin graft in 2 cases, partial flap transfer in 12 cases, including 6 cases of revolving flap, 4 cases of gliding flap, 2 cases of nasolabial flap; Flap in 4 cases. Results: All the 18 cases were successfully performed without any special complications. The flaps survived completely. One of them was partially necrotic and was cured after one month of dressing change. Followed up for 6 months to 2 years, no recurrence of tumor, functional shape recovery satisfaction. Conclusion: The surgical selection of malignant tumors of the head and face should be considered in combination with the patient’s age, tumor status and general condition. Elderly patients with head and face skin cancer should be based on the specific circumstances of different repair options to simple, quick, traumatic small appropriate.