中华皮肤科杂志 ›› 2011, Vol. 44 ›› Issue (12): 897-898.

• 皮肤外科 • 上一篇    下一篇

唇部肿瘤82例皮肤外科手术分析

彭建中1,许爱娥2,冯卫国1,戴叶芹3,钱国培1   

  1. 1. 杭州市第三人民医院
    2. 安徽医科大学附属杭州市第三人民医院皮肤科
    3. 南京医科大学第一附属医院皮肤科
  • 收稿日期:2011-02-23 修回日期:2011-03-27 出版日期:2011-12-15 发布日期:2011-12-02
  • 通讯作者: 许爱娥 E-mail:xuaiehz@msn.com

Surgical treatment of lip tumors: 82 case reports

  • Received:2011-02-23 Revised:2011-03-27 Online:2011-12-15 Published:2011-12-02

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摘要：

［摘 要］目的 对82例唇部皮肤外科手术病例进行回顾性研究，探讨唇部皮肤外科手术病例的共性、特点。方法 手术切除唇部皮损，根据缺损的部位、大小、形状及周围皮肤、黏膜情况等选择修复方法。结果 患者平均年龄49.62岁，男女性别构成比相近。患色素痣的病例最多34例（41.5%），其余肉芽肿13例（15.9%），鳞状细胞癌12例（14.6%），血管瘤9（11.0%），基底细胞癌7例（8.5%），光化性唇炎2例（2.4%），角化棘皮瘤2人（2.4%），粘液囊肿2人（2.4%），鲍温氏病1人（1.2%）。手术部位上唇47例（57.3%），下唇35例（42.7%）。所有病例中，应用单纯闭合手术者占51例（62.2%），应用到复杂成形技术的31例（37.8%）。结论 对于发生于唇部的皮肤恶性肿瘤及常见良性肿物除应用经典皮肤外科手段—Mohs显微外科手术完整切除肿瘤（或肿物）以外，熟练应用唇部成形修复技术也非常重要。

关键词: 外科手术

Abstract:

[Abstract] Objective To study 82 cases of lip tumors by dermatologic surgery，and analyze their generality and characters.Methods Exsect lip lesions，According to the site，size，shape and neighberous skin and mucosa status of defects, the appropriate surgeries were selected to repair lip tissue defects．Results The average age of the patients was 49.62.The numbers of man were about equal to those of women,most cases were Nevus (41.5%).The other cases were granuloma (15.9%), Squamous cell carcinomasbenign(14.6%),hemangiomas(11.0%),basal cell carcinoma(8.5%),actinic cheilitis(2.4%),Keratoacanthoma（2.4%），mucous cyst（2.4%）Bowen’s disease(1.2%).Operations of upper lip were 47cases(57.3%),35cases(42.7%) were on the lower lip.Cases of primary close occupied 62.2%.Cases applying complex colse were37.8%.Conclusion Skin cancer and benign tumors usually occur on the lips,so it is very important to master the techniques of plastic surgery to repair the defects of lips,besides removing tumors perfectly by the classical way of dermatologic surgery,Mohs Micrographic Surgery.