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目的探索断层巨痣切除法治疗先天性巨痣的疗效。 方法在 10例先天性巨痣患者中 ,分别采用游离刃厚皮片移植法 5例、断层巨痣切除法 2例、皮肤软组织扩张法 3例 ,总结其临床疗效。 结果采用游离刃厚皮片移植的 5例皮片全部存活 ,其中 2例有供皮区疤痕增生 ;采用皮肤软组织扩张法的 3例转移皮瓣全部一期存活 ,皮瓣色泽、质地良好 ;采用断层巨痣切除法的 2例创面愈合佳 ,其中 1例有较浅的色素沉着。 结论断层巨痣切除法因其创伤小、疤痕少、操作简单的优点 ,不失为一种治疗先天性巨痣的首选方法。
Objective To explore the curative effect of giant fleas resection in the treatment of congenital giant salamander. Methods In 10 patients with congenital giant fistula, 5 cases were treated with free-thickness skin grafts, 2 cases were cut with giant iliac crest, and 3 cases were skin soft tissue expansion methods. The clinical efficacy was summarized. Results Five skin grafts with free edge thickness skin graft survived, and 2 of them had scar proliferation in the donor site. All the 3 skin flaps with skin soft tissue expansion method survived in one phase. The flaps were of good color and texture. Two cases of severe aponeurosis resection had good wound healing, and one case had lighter pigmentation. Conclusion Because of its advantages of less trauma, fewer scars, and simple operation, the excision method of the giant cyliths is the preferred method for the treatment of congenital giant cystic maggots.