目的：探讨不同手术方法一期修复头皮非黑素瘤性皮肤癌术后缺损，并评价其临床效果。方法：回顾性分析笔者科室2011年1月-2015年12月收治的头皮癌患者48例（鳞状细胞癌34例、基底细胞癌14例），行肿瘤扩大切除术后缺损创面根据情况采用游离皮片移植、单侧或双侧带蒂旋转皮瓣、旋转皮瓣联合游离皮片移植不同方法进行修复，供瓣区直接缝合或中厚植皮修复，颅骨缺损暂不修补。结果：所有患者皮瓣及皮片全部成活，患者对疗效均感满意。术后随访6个月～3年，未见肿瘤复发。结论：头皮非黑素瘤性皮肤癌扩大切除后，根据其缺损范围及深度采用不同手术方法进行一期修复，疗效满意。%Objective The clinical study aims to discuss the effect of different procedures in on primary repair of scalp defect after scalp nonmelanoma skin cancers operation. Methods 48 patients with scalp nonmelanoma skin cancers (34 patients with squamous cell carcinoma, 14 patients with basal cell carcinoma) admitted to our hospital from January 2011 to December 2015 which were treated with different surgical methods were retrospectively analyzed. Scalp defect was repaired with free skin transplantation, one or two single-pedicle scalp lfap, or all the both. The donor sites of lfaps were sutured directly or repaired by skin graft, and the defect of skull was not repaired according to pre-operation plan. Results The lfaps and skin graft survived and incision healed by ifrst intention. The donor sites of lfaps in all patients healed completely by saturation or skin graft. No recurrence of tumor was observed after the post-operation follow-up visit, which lasted for 6 months to 3 years. Conclusion The correct surgical methods can be successfully used to repair a variety of defects after scalp nonmelanoma skin cancers operation.
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