简易外扩张术在体表皮肤肿物切除术前的应用探讨

目的探讨简易外扩张术在体表皮肤肿物切除术前的应用效果。方法以2016年1月至2017年3月天津市儿童医院收治的71例体表皮肤肿物患儿为研究对象,所有患儿在行体表皮肤肿物切除术前应用简易外扩张术治疗。71例中男30例,女41例,年龄4个月至12岁。黑痣45例,皮脂腺痣19例,瘢痕7例。在术前2周,对病变局部皮肤手动揪起,起始可为每日3次,每次10 min,逐渐延长时间和次数,达到每日10次,每次20 min。患儿局部无不适,两侧正常皮肤可实现小张力下的对合。结果本组71例患儿手术效果均满意,直接切除两侧皮瓣均实现皮内缝合,术后恢复顺利,未发生与该缝合相关并发症。结论简易外扩张术操作简单易行,在体表皮肤肿物切除术前应用,具有缝合张力小、术后瘢痕少、对周围组织及器官外形影响小、并发症少等优点。

Application of simple in vitro skin and soft tissue dilatation before resecting superficial skin mass

Objective To explore the application of simple in vitro skin and soft tissue dilatation before resecting superficial skin mass.Methods From January 2016 to March 2017,71 children underwent somatic tumor resection before applying simple in vitro skin and soft tissue dilatation.There were 30 boys and 41 girls with an age range of 4 months to 12 years.The causes were mole(n=45),sebaceous nevus(n=19)and scar(n=7).At 2 weeks pre-operation,local skin of lesion was manually pricked for 10 min thrice daily.And time and frequency were extended up to 20 min 10 times daily.There was no local discomfort.Both sides of normal skin could be apposed.Results All children achieved satisfactory outcomes.Both sides of skin flap were intradermally sutured.Postoperative recovery was smooth and there was no suture-related complication.Conclusion Simple in vitro skin and soft tissue dilatation is both simple and easy.It obtains the greatest skin elasticity.With small wounds,minimal scar,little effect upon surrounding tissue and organ contour.