【摘 要】
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目的：回顾性分析2003～2013年1037例在我中心门诊和住院部经手术治疗的面部黑色素痣患儿的临床资料,总结儿童面部黑色素痣的诊断、手术治疗经验。方法：对1037例面部黑色素痣
【出 处】
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2015中华医学会整形外科学分会第十四次全国学术交流会暨第五届中国(福州)ISAPS美容整形外科高级研讨会
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目的：回顾性分析2003～2013年1037例在我中心门诊和住院部经手术治疗的面部黑色素痣患儿的临床资料,总结儿童面部黑色素痣的诊断、手术治疗经验。方法：对1037例面部黑色素痣患儿的手术治疗资料进行统计分析：其中男473例,女564例；年龄22天～17岁。诊治例数逐年增加,诊治年龄逐年减小。根据本中心经验及家长要求选用三种手术方式进行治疗。一期或分次切除缝合：550例病变一期切除缝合,245例病变分次切除缝合；切除加全厚植皮：155例行病变切除加全厚植皮术；皮瓣转移修复,86例行邻近皮瓣转移术,1例行巨大黑色素痣部分切除加股前外游离皮瓣转移修复术。疗效评价采用皮肤科医生和患儿家属双盲评价,评价内容包括：切口瘢痕、面部畸形、色差。
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