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目的探讨应用带蒂皮瓣Ⅰ期修复鼻部基底细胞癌切除术后组织缺损的方法。方法鼻部基底细胞癌15例,手术完整切除肿瘤。应用鼻唇沟皮瓣修复鼻翼部缺损9例,额部皮瓣修复鼻尖部、鼻背中线、鼻根部缺损6例。结果 15例患者术后伤口Ⅰ期愈合,皮瓣全部成活。术后随访3个月~5年,患者无瘤生存,鼻外形无明显畸形,前鼻孔宽敞,局部瘢痕不明显。结论带蒂皮瓣Ⅰ期修复鼻部基底细胞癌切除术后缺损具有皮瓣存活率高、操作简单、瘢痕不明显等优点,美容效果理想。
Objective To investigate the method of repairing nasal basal cell carcinoma after resection with pedicle flap Ⅰ. Methods Nasal basal cell carcinoma in 15 cases, the complete removal of the tumor surgery. Nose flap was repaired with nasolabial flap for nasal alar defect in 9 cases and forehead flap in 6 cases for repair of nasal tip, midburn midline and nasal root defect. Results Fifteen patients had primary wound healing and the flaps all survived. The patients were followed up for 3 months to 5 years. The patients survived without any tumor. There was no obvious deformity in the nasal shape. The anterior nostril was spacious and the local scar was not obvious. Conclusions The pedicle skin flap with stage I repair of nasal basal cell carcinoma has the advantages of high survival rate of skin flap, simple operation and little scar, and has good cosmetic effect.