中华皮肤科杂志 ›› 2010, Vol. 43 ›› Issue (4): 223-225.

• 论著 •    下一篇

140例特殊部位白癜风皮损的外科处理

方方1,吴信峰1,赵亮1,王强1,王焱1,黄莉明2   

  1. 1. 南京 中国医学科学院北京协和医学院皮肤病研究所
    2.
  • 收稿日期:2009-07-13 修回日期:2009-12-17 出版日期:2010-04-15 发布日期:2010-04-07
  • 通讯作者: 方方 E-mail:fangfangjh@126.com

Surgical management of 140 cases of vitiligo on special body sites

  • Received:2009-07-13 Revised:2009-12-17 Online:2010-04-15 Published:2010-04-07

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摘要：

目的 探讨特殊部位白癜风皮损的外科处理方法，以提高白癜风的手术治愈率。方法 根据部位的特征性采用不同的方法及术后处理，主要采用头皮缩小、皮瓣转移、毛发移植、皮肤磨削、器官缝合粘连、术后缝合打包等手段。结果 经正确的选择治疗方法及术后处理，胡须、眉毛部位有效率94.3%；头皮、颈、眼、眶周、手部位有效率100%；口唇黏膜有效率100%，总有效率98.6%。结论 特殊部位白癜风皮损经不同的外科方法处理，可提高治愈率。

关键词: 白癜风, 特殊部位, 外科治疗

Abstract:

Objective To investigate available surgical strategies for the management of vitiligo on special body sites, so as to improve treatment outcome of vitiligo. Methods In total, 140 patients with vitiligo on special body sites collected from 1998 to 2008 were included in this study. Different surgical strategies and postoperative managements were performed according to lesional sites, which mainly included removal of scalp lesions, transfer of flaps, hair transplant, dermabrasion, suturing and adhesion of tissues, tie-over dressing, etc. Results After treatment with appropriate surgical strategies and postoperative management, the effective rate was 94.3% （21/35） for lesions in the beard and eyebrow area, 100% （70/70） for those on the scalp, neck, eyes, periorbital area, hands and lip mucosa, and the total effective rate amounted to 98.6%. Conclusion The cure rates of vitiligo on special body sites are obviously improved by using different surgical strategies and dispositions.

Key words: vitiligo, special sites, Surgical treatments