面部肥厚型鲜红斑痣并上唇突出畸形的综合治疗
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摘要
目的探讨面部肥厚型鲜红斑痣(Port-wine-stain,PWS)并上唇突出畸形的综合治疗方法。方法自2000年3月至2011年10月,我科采用综合方法治疗面部肥厚型鲜红斑痣并上唇突出畸形89例,治疗包括面部上唇部皮肤使用595 nm超脉冲激光治疗、上唇深部平阳霉素注射和手术切除部分上唇及增生突出的唇黏膜。结果上唇部一次成形39例,二次成形20例;30例行面部及上唇部PWS切除并行自体厚皮片移植,3～6个月后行上唇部皮肤及唇黏膜部分切除。所有患者术后切口愈合良好,唇闭合及外形满意。结论通过对上唇部突出畸形的手术并结合激光治疗等方法,使患者术后外形完美,患者满意度高。本方法值得在临床推广应用。
Objective To explore and evaluate the effects of facial hypertrophic port-wine-stain and protrusion deformity of upper lip skin.Methods Form march 2003 to October 2011,89 cases were treated.The compound correction included facial and upper lip were treated by 595 nm super pulsed dye laser,deep upper lip was injected by PYM part of upper lip and protrusion lip mucosa were resected.Results One operation was performed in 39 cases,2 operations were performed in 31 cases,resection of face and upper lip PWS with split thickness skin graft was performed in 29 cases.Upper lip skin and partial lip mucose were resected 3-6 months later.The healing of first intension and good shape were obtained in 89 cases.Conclusion Resection of upper lip protrusion deformity can enhance the effects of laser and obtain more cosmetic appearance.
Objective To explore and evaluate the effects of facial hypertrophic port-wine-stain and protrusion deformity of upper lip skin.Methods Form march 2003 to October 2011,89 cases were treated.The compound correction included facial and upper lip were treated by 595 nm super pulsed dye laser,deep upper lip was injected by PYM part of upper lip and protrusion lip mucosa were resected.Results One operation was performed in 39 cases,2 operations were performed in 31 cases,resection of face and upper lip PWS with split thickness skin graft was performed in 29 cases.Upper lip skin and partial lip mucose were resected 3-6 months later.The healing of first intension and good shape were obtained in 89 cases.Conclusion Resection of upper lip protrusion deformity can enhance the effects of laser and obtain more cosmetic appearance.
引文
[1]高文天,孙林潮.美容激光医学[M].北京:人民军医出版社,2004,59.
[2]肖和,杨志强,杨正文,等.Vasculight强脉冲染料激光治疗鲜红斑痣175例临床观察[J].中国美容整形外科杂志,2008,19(5):329-332.
[3]杨超,邢新,李军辉,等.面部肥厚型鲜红斑痣的手术治疗[J].中国美容整形外科杂志,2011,22(7):409-411.
[4]潘勇,杨力,马显杰,等.应用扩张的胸三角皮瓣修复成人面颈部葡萄酒色斑[J].组织工程与重建外科,2010,6(2):93-95.
[5]杨建申,张歌,秦军侠,等.平阳霉素注射治疗婴幼儿血管瘤存在的问题及处理[J].实用医药杂志,2010,27(9):800-801.
[2]肖和,杨志强,杨正文,等.Vasculight强脉冲染料激光治疗鲜红斑痣175例临床观察[J].中国美容整形外科杂志,2008,19(5):329-332.
[3]杨超,邢新,李军辉,等.面部肥厚型鲜红斑痣的手术治疗[J].中国美容整形外科杂志,2011,22(7):409-411.
[4]潘勇,杨力,马显杰,等.应用扩张的胸三角皮瓣修复成人面颈部葡萄酒色斑[J].组织工程与重建外科,2010,6(2):93-95.
[5]杨建申,张歌,秦军侠,等.平阳霉素注射治疗婴幼儿血管瘤存在的问题及处理[J].实用医药杂志,2010,27(9):800-801.