摘要
目的探讨体表神经纤维瘤外科治疗的方法。方法对2000年1月—2012年12月收治的44例神经纤维瘤,根据病灶部位和面积的大小、形状选择手术方法,其中采用瘤体切除后直接缝合或局部皮瓣覆盖8例,瘤体切除后取自体中厚或全厚皮片移植25例,瘤体切除同时反鼓切取瘤体表面皮片回植8例,瘤体切除扩张后皮瓣带毛发移植修复3例。结果本组一次手术治愈31例,多次手术治愈13例。全部病例均恢复生活自理及工作能力,外观和功能均明显恢复。随访6个月—2年,均未见反鼓切取皮片和病灶切除区复发。结论神经纤维瘤小而不影响功能者一般不需手术治疗,但对于巨大肿瘤采用手术分期切除或瘤体部分切除,效果较好。
Objective To explore the surgical treatment for superficial neurofibroma. Methods A total of 44 patients with superficial neurofibroma during January 2000 and December 2012 underwent surgery according to position, area,size and form of lesion. After tumor resection,of the 44 patient,8 patients were sewed or covered with local skin flaps,25 patients underwent skin transplantation with autologous middle or full-thickness skin graft,8 patients underwent skin transplantation with superficial tumor skin,and 3 patients underwent skin transplantation with haired skin flaps. Results Thirty-one patients were cured after one surgery,and 13 patients were cured after multiple surgeries. All the patients recovered their abilities of daily life and work by themselves,and the surface and function of lesions were obviously repaired. There was no recurrence in areas of excision and transplanted skin flaps with superficial tumor skin with 6 months-2 years of follow-up. Conclusion Small neurofibroma without functional disorder need not be treated with surgery,but giant neurofibroma should be treated with resection in stages or by partial resection.
出处
《解放军医药杂志》
CAS
2013年第12期80-82,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
神经纤维瘤病
外科皮瓣
外科手术
Neurofibromatoses
Surgical flaps
Surgical procedure
