Repair and treatment with local skin flap after primary surgical resection of non melanoma skin cancer
10.11659/jjssx.11E016038
- VernacularTitle:头面部非黑色素瘤皮肤癌一期切除术后局部皮瓣的修复治疗
- Author:
Zhen FANG
;
Zhenhe CHEN
;
Zhe WEI
;
Haiyan LIU
- Keywords:
head and face;
non melanoma skin cancer;
local skin flap repair;
surgery
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(8):605-608
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of treatment with local skin flap after primary surgical resection of non melanoma skin cancer.Methods A total of 176 patients with head and facial skin cancer who were admitted into our hospital from September 2008 to September 2015 were divided into three groups according to different repair plans.Namely,the suture group (41 cases),the local skin flap group (81 cases) and the skin graft group (54 cases).The repair effect of the three groups were compared after the operation.Results The good rate was 68.39%(28/41) in the suture group,98.77%(80/81) in the local skin flap group,and 83.33%(45/54) in the skin graft group,and it was significantly higher than any of the other two groups with statistically significant difference(P<0.05).The satisfaction rate of the local skin flap group was significantly better than that of the suture group,and the difference was statistically significant(P<0.05).But there was no significant difference in the satisfaction rate when compared with the skin graft group(P>0.05).The 3 groups were followed up for a period of 1 year,as a result,there was no recurrence and distant metastasis.Conclusion For patients with head and facial non melanoma skin cancer,repaired with local skin flap healing treatment after primary surgical resection can not only get high healing rate but also significant improvement of patient satisfaction rate.In addition,it can lower the rate of recurrence and distant metastasis after operation.
