鼻部皮肤外科手术63例分析

目的:对63例鼻部皮肤外科手术病例进行回顾性研究,探讨鼻部皮肤外科手术病例的共性、特点.方法:应用SPSS 10.0和SAS 6.12统计软件进行分析.结果:患者平均年龄(46.92±18.63)岁,男女性别构成比相近.患基底细胞癌的病例最多(42.9%),色素痣其次(38.1%),其余均为良性肿物.手术部位中鼻翼占52.4%,鼻梁占22.2%,鼻尖占15.9%,其余部位占9.5%.所有病例中,应用单纯闭合手术者占69.8%,应用到复杂成形技术的占30.2%.统计结果显示,单纯闭合与复杂成形修复在手术部位上的分布差异具有统计学意义,两者所对应的切口面积差异有统计学意义;皮肤恶性肿瘤与良性肿物在是否应用了复杂成形技术方面的差异有统计学意义.结论: 对于发生于鼻部的皮肤恶性肿瘤及常见良性肿物除应用经典皮肤外科手段--Mohs显微外科手术完整切除肿瘤(或肿物)以外,熟练应用鼻部成形修复技术也非常重要.

Study on cases of nasal tumors treated by dermatologic surgery: analysis of 63 cases

OBJECTIVE: To study 63 cases of nasal tumors treated by dermatologic surgery, and analyze their generality and characters. METHODS: The cases were analyzed with SPSS 10.0 and SAS6.12. RESULTS: The average age of the patients was 46.92 +/- 18.63.The number of man was about equal to that of women. Most cases were basal cell carcinoma (42.9%). Nevus came second (38.1%). The other cases were benign tumors. The distribution of operational locations showed the character of nasal surgery. Operations of Alar occupied 52.4%, 22.2% were on the dorsal and 15.9% on the tip. Other locations occupied 9.5%. Cases of primary close occupied 69.8%. Cases applying complex close were 30.2%. Statistic analysis illustrated that primary close was different from complex close with distribution of operational locations. The area of defects between primary close and complex close was also different. At the same time, the differentiation of applying complex close was obvious between malignant tumors and benign tumors. CONCLUSION: Skin cancers and benign tumors usually occur on the nose, so it is very important to master the techniques of plastic surgery to repair the defects of nose, besides removing tumors perfectly by the classical way of dermatologic surgery, Mohs Micrographic Surgery.