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目的:探讨外鼻基底细胞癌切除后的创面缺损修复方法。方法:26例外鼻基底细胞癌患者均行手术完整切除肿瘤。创面缺损修复采用直接缝合法2例,游离皮片修补2例,鼻唇沟转移皮瓣修复18例,额部带蒂转移皮瓣修复4例。结果:26例患者术后伤口均Ⅰ期愈合,皮瓣、皮片全部成活。术后随访1~3年,局部瘢痕不明显,无肿瘤复发或转移。结论:根据缺损面积及所处鼻部区域分别采用不同的修复方法,可获得满意的手术效果,尤其鼻唇沟皮瓣更是一种较理想的修复方法。
Objective: To investigate the method of repairing wound defect after excision of external basal cell carcinoma. Methods: Twenty-six patients with nasal basal cell carcinoma underwent surgical resection of the tumor. Wound defect repair using direct suture in 2 cases, free skin patch in 2 cases, nasolabial fold transfer flap repair in 18 cases, forehead with pedicle transfer flap repair in 4 cases. RESULTS: The wounds of all the 26 patients were healed by first intention and all the flaps and skin flaps survived. After 1 to 3 years of follow-up, local scars were not evident, and no tumor recurrence or metastasis occurred. Conclusion: According to the defect area and the nasal area, different repair methods can be used to obtain satisfactory results. In particular, the nasolabial flap is an ideal method for repair.