连续切除治疗巨大先天性黑素细胞痣：越南方法。
Serial Excision for the Treatment of Giant Congenital Melanocytic Nevus: The Vietnamese Way.
作者信息
Hong Son Nguyen, Huu Nghi Dinh, Duy Nham Nguyen, Trong Tuy Than, Bac Hung Nguyen, Van Thuong Nguyen, Thiet Son Tran, Gandolfi Marco, Feliciani Claudio, Satolli Francesca, Tirant Michael, Vojvodic Aleksandra, Lotti Torello
机构信息
National Hospital of Dermatology and Venereology, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
出版信息
Open Access Maced J Med Sci. 2019 Jan 26;7(2):231-233. doi: 10.3889/oamjms.2019.058. eCollection 2019 Jan 30.
AIM
To investigate the efficacy of plastic surgery in the treatment of giant congenital melanocytic nevus (GCMN).
METHODS
We enrolled 20 patients with 44 lesions and performed one of the following procedures: serial excision, skin grafting, tissue expansion, primary skin closure, distant flap, and adjacent flap. We assessed the outcome at 10 days and 6 months after surgery.
RESULTS
Of 44 surgical sites, the most commonly used reconstruction surgeries were serial excision (16), skin grafting (16), and tissue expansion (6). Other types were rarely used. All patients with serial excision had good outcome. A total of 81% and 19% of the patients with skin grafting had good and fair outcome, respectively. Around 83% and 17% of the patients with tissue expansion had good and fair outcome. No cases had bad outcome.
CONCLUSION
In conclusion plastic surgery is effective in the treatment of GCMN. There are different techniques but serial excision, skin grafts, and tissue expansion are most commonly used.
目的
探讨整形手术治疗巨大先天性黑素细胞痣（GCMN）的疗效。
方法
我们纳入了20例患者的44处病损，并实施了以下手术之一：连续切除、植皮、组织扩张、一期皮肤缝合、远位皮瓣和邻位皮瓣。我们在术后10天和6个月评估结果。
结果
在44个手术部位中，最常用的重建手术是连续切除（16例）、植皮（16例）和组织扩张（6例）。其他类型很少使用。所有连续切除的患者预后良好。植皮患者分别有81%和19%预后良好和一般。组织扩张患者约83%和17%预后良好和一般。无病例预后差。
结论
总之，整形手术治疗GCMN有效。有不同的技术，但连续切除、植皮和组织扩张最常用。
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