使用皮肤再生模板的单阶段方法可以在皮肤癌切除后导致令人满意的头皮缺陷重建吗?
Lino Lucio Locurcio1, Maeve Breen1, Jahrad Haq2
1Specialty Doctor in OMS, Ashford Hospital, Ashford.
概括
整体皮肤再生模板 (DRT) 为皮肤癌患者头皮重建提供了一种成功的单阶段方法,减少了对额外手术的需求. 在最近的一项研究中,这种方法在没有并发症的情况下实现了90%的重新上皮质化.
科学领域:
- 皮肤病学 皮肤病学
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
背景情况:
- 由于癌症被切除而造成的大型皮肤缺陷,往往需要复杂的重建性手术.
- 整体皮肤再生模板 (DRT) 是一种用于填补皮肤缺陷的膜,通常随后是第二阶段的移植或片.
研究的目的:
- 评估使用DRT无需第二次手术的单阶段头皮重建的成功率.
- 评估这种单阶段方法的实际可行性.
主要方法:
- 在2019年6月至2022年6月期间,对40名患有皮肤癌头皮缺陷的患者进行了回顾性病例系列,这些患者接受了DRT治疗.
- 接受进一步手术的患者被排除在外;结果侧重于通过DRT和服装管理完全重新上皮化.
主要成果:
- 90%的患者在没有并发症的情况下实现了完全的重新上皮质化.
- 患者的平均年龄为81.5岁,平均缺陷大小为14.7厘米2.
- 并发症包括两个感染和三个出血事件;平均愈合时间为3.8个月.
结论:
- 可以成功地使用DRT膜作为头皮缺陷的单阶段重建选择.
- 这种方法最大限度地减少了后续外科手术的需要,证明了临床效用.
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