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颅面部周围型神经纤维瘤切除后修复重建

总结手术治疗颅面部周围型神经纤维瘤（craniomaxillofacial neurofibroma，CMFNF）的效果。方法 1999年5月～2003年8月，收治CMFNF患者27例。男10例，女17例；年龄2~70岁。病程2~50年。涉及瘤体的皮肤面积20~110 cm2，其中gt;100 cm2 6例，50~100 cm2 16例，lt;50 cm2 5例。多科合作进行CMFNF手术切除和颜面外形功能重建。一期手术25例，其中15例采用5 cm×3 cm～12 cm×7 cm皮瓣修复CMFNF切除后缺损，余直接缝合。二期手术2例。结果 术后切口均Ⅰ期愈合，皮瓣均成活；骨缺损修复和眼眶再造造型好。20例获随访2~6年，无再次手术，术后容貌明显改善，患者均可参与正常的社会活动。结论 多科合作手术切除及修复是治疗CMFNF的首选方法。

ONE STAGE REPAIR OF SCROTAL AND PERINEAL HYPOSPADIAS WITH PREPUCE ISLAND FLAP

Objective To explore an effective method to repair penile-scrotal or perineal hypospadias in one stage with prepuce island flap.Methods Different prepuce island flaps were designed according to thedifferent pathological anatomy of the penile-scrotal or perineal hypospadias. The prepuce island flaps were thus translocated and sutured to form the urethra.Thirty-one cases of hypospadias (21 cases of peinil-scrotal type, 10 cases of perineal type) were repaired with prepuce island flap.The biggest length and the width of the prepuce island flapwere 7.5 cm and 1.5-1.8 cm respectively.Results All the cases resulted in a good contour of the penis and a normal anatomic position of urethral meatus without any redundancy or tortuosity.The urination was perfect and acceptable.Conclusion One stage repair of penilescrotal or perineal hypospadias with prepuce island flap can be considered as an acceptable effective surgical technique.

体表血管瘤的治疗综述

小腿内侧皮瓣修复手部创伤47例

我科自1983年5月～1993年5月，应用小腿内侧皮瓣整复手部创伤47例(48侧)。随访时间1～10年，效果满意。手术后无1例发生供瓣侧下肢功能障碍，皮瓣成活率97.9%。对小腿内侧皮瓣应用于手部创伤中的特点作了讨论。