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鼻唇沟皮瓣手术修复结合术后电子线照射治疗外鼻肿瘤
引用本文:张建军,陈发国,易传勋,叶若水,慈海,惠焕利,海拉提.鼻唇沟皮瓣手术修复结合术后电子线照射治疗外鼻肿瘤[J].临床耳鼻咽喉头颈外科杂志,2009,23(17):786-788.
作者姓名:张建军  陈发国  易传勋  叶若水  慈海  惠焕利  海拉提
作者单位:石河子大学医学院第一附属医院整形外科;华中科技大学同济医学院附属协和医院整形外科;
摘    要:目的:探讨临床上外鼻恶性肿瘤较理想的治疗方法及其疗效。方法:15例外鼻肿瘤患者手术切除病损后,缺损区用鼻唇沟皮瓣修复,供区直接拉拢缝合,术区拆线后2~5d采用电子线常规分割放疗,共4~5周,总照射剂量为40~50Gy。结果:15例外鼻肿瘤患者在术后1.5~2.0年内无一例复发,鼻部形态良好,皮肤颜色、质地与鼻部皮肤一致,瘢痕不明显。结论:鼻唇沟皮瓣用于外鼻肿瘤术后缺损修复,方法简单,术后结合电子线照射治疗可有效预防肿瘤复发,是一种较好的方法。

关 键 词:鼻唇沟皮瓣  鼻肿瘤  缺损修复  电子线照射  放射疗法

Treatment of nasal malignant tumor with electron beam irradiation after repair of nasolabial flap
ZHANG Jianjun CHEN Faguo YI Chuanxun YE RuoshuiCI Hai HUI Huanli HAI Lati.Treatment of nasal malignant tumor with electron beam irradiation after repair of nasolabial flap[J].Journal of Clinical Otorhinolaryngology,2009,23(17):786-788.
Authors:ZHANG Jianjun CHEN Faguo YI Chuanxun YE RuoshuiCI Hai HUI Huanli HAI Lati
Affiliation:1Department of Plastic Surgery;the First Affiliated Hospital;Medical College of Shihezi University;Shihezi;832008;China;2Department of Plastic Surgery;Union Hospital;Tongji Medical College;Huazhong University of Science and Technology
Abstract:Objective:To explore the appropriate reconstructive methods and curative effect after nasal skin malignant tumor excision.Method:Nasolabial flap was selected to cover the nasal defects in 15 cases which nasal tumors were removed.The secondary defect of donor site was directly sutured.Electron beam conventional radiotherapy(DT40-50 Gy/20-25 times /4-5 weeks) was delivered to the involved field after incision sutured out 2-5 days.Result:A total of 15 patients with noasl tumor were available for follow-up of 6...
Keywords:nasolabial flap  nose neoplasms  defect repair  electron beam irradiation  radiotherapy  
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