全厚皮片游离移植矫治大面积眼睑分裂痣.docVIP

全厚皮片游离移植矫治大面积眼睑分裂痣[摘要]目的：探讨全厚皮片游离移植矫治大面积眼睑分裂痣的效果及优势。方法：2002 年9 月～2006 年8 月，利用耳后或上臂内侧全厚皮片游离移植矫治大面积眼睑分裂痣6 例，男性2 例,女性4 例，年龄12～28 岁；黑痣直径3～6cm。结果：6 例患者，2 例行耳后皮片移植，4 例行上臂内侧皮片移植。所有患者分裂痣完全切除，植皮全部成活。随访3 个月～4 年，形态、功能良好，无并发症发生，效果满意。结论：全厚皮片游离移植矫治大面积眼睑分裂痣简单易行、适应证广、疗效可靠，是治疗此类疾病比较理想的术式。 [关键词]全厚皮片；眼睑；分裂痣；大面积 [中图分类号]R758.5 [文献标识码]A [文章编号]1008-6455（2008）12-0015-02 Application of full-thickness skin graft for large-sized divided nevus correction REN Min1，TENG Li2，JIN Xiao-lei2,XU Jia-jie2,LU Jian-jian2 (1. Department of Breast Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui,China;2. Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100041，China) Abstract:ObjectiveTo investigate the effect and advantage of using full-thickness skin graft for large-sized divided nevus correction.MethodsFrom September 2002 to August 2006, 6 patients suffering from large divided nevus were treated, 2 males and 4 females, aged from 12 to 28 years. The diameter of divided nevus was 3cm to 6cm. All repaired by full-thickness skin grafting.Results2 were repaired by post auricular skin graft, 4 by medial skin graft of upper arm. All patients’ divided nevus excised and grafts survived. With a routine follow-up of 3 months to 4 years, the postoperative contour and function was satisfactory. No complication occurred. All patients were satisfied with the cosmetic appearance.Conclusions Full-thickness skin graft is an ideal way for large-sized divided nevus correction，operation is simple, indication is extensive and results are satisfactory. Key words:full-thickness skin graft；eyelid；divided nevus；large-sized 眼睑分裂痣是发生于上、下眼睑的色素痣，不论形状和面积大小，在闭眼状态下，上、下睑色素痣互相接合组成犹如一块完整的病变，睁眼时则分为两半，多单侧发病。分裂痣皆为先天性，在胚胎时上下眼睑未分离前即已存在，出生后仍能继续生长、扩延、增厚，影响美容及眼部功能。分裂痣手术方法有多种，主要是手术切除，局部皮瓣移转覆盖创面[1-4]。笔者在总结前人手术经验和技术改进的基础上，自2002 年9 月～2006 年8 月，应用全厚皮片游离移植修复大面积眼睑分裂痣6 例，效果满意。 1临床资料 1.1 一般资料：本组共6 例患者，男性2 例, 女性4 例，年龄12～28 岁；左睑4 例，右睑2 例；色