皮瓣成型术与微创切除治疗面部色素痣的临床效果比较

朱波臣

[摘 要]目的 比较对面部色素痣患者采用皮瓣成型术与微创切除治疗的效果。方法 选取我院2022年6月-2023年6月收治的68例面部色素痣患者为研究对象，按随机数字表法分为对照组和观察组，每组34例。对照组接受皮瓣成型术治疗，观察组接受微创切除术治疗，比较两组临床疗效、不良反应发生情况及面部美观程度。结果 两组治疗总有效率比较，差异无统计学意义（P>0.05）；观察组不良反应发生率为2.94%，低于对照组的17.65%（P<0.05）；两组术后面部总体美观、皮肤颜色评分均高于术前，且观察组高于对照组（P<0.05）。结论 面部色素痣患者接受皮瓣成型术或微创切除术治疗均可获得理想的效果，但微创切除治疗的安全性较高，术后不良反应发生风险较低，面部美观性更佳。

[关键词] 面部色素痣；皮瓣成型术；微创切除术

[中图分类号] R758.5+1 [文献标识码] A [文章编号] 1004-4949（2024）05-0050-04

Comparison of Clinical Effects of Skin Flap Plasty and Minimally Invasive Resection in the Treatment of Facial Pigmented Nevus

ZHU Bo-chen

（Department of Dermatology and Venereology， Changsha Central Hospital/Changsha Central Hospital Affiliated to University of South China， Changsha 410001， Hunan， China）

[Abstract]Objective To compare the effect of skin flap plasty and minimally invasive resection in patients with facial pigmented nevus. Methods A total of 68 patients with facial pigmented nevus admitted to our hospital from June 2022 to June 2023 were selected as the research objects. According to the random number table method， they were divided into control group and observation group， with 34 patients in each group. The control group was treated with flap plasty， and the observation group was treated with minimally invasive resection. The clinical efficacy， adverse reactions and facial aesthetics of the two groups were compared. Results There was no significant difference in the total effective rate between the two groups （P>0.05）. The incidence of adverse reactions in the observation group was 2.94%， which was lower than 17.65% in the control group （P<0.05）. The overall facial beauty and skin color scores of the two groups after operation were higher than those before operation， and those in the observation group were higher than those in the control group （P<0.05）. Conclusion Patients with facial pigmented nevus can achieve ideal results by skin flap plasty or minimally invasive resection， but minimally invasive resection has higher safety， lower risk of postoperative adverse reactions， and better facial aesthetics.

[Key words] Facial pigmented nevus； Flap plasty； Minimally invasive resection

面部色素痣（facial pigmented nevus）為常见皮肤良性肿瘤，长时间在紫外线、阳光等环境下暴露会提高该疾病发生风险，可能出现疼痛、瘙痒等症状，不利于患者的身心健康发展[1]。同时，面部是人们外貌的重要组成部分，色素痣的存在会影响患者的面部美观，导致其个人形象与自信心下降[2]。因此，临床为面部色素痣患者提供治疗时，既要重视疗效，还要注重美观度。现阶段，临床常采用皮瓣成型术治疗面部色素痣，借助周围健康皮肤修复创面，恢复皮肤生理功能，但由于该术式创伤较大，且术后疼痛明显，不良反应发生风险较高，影响整体治疗效果[3]。随着临床医疗技术和设备的发展和进步，当前面部治疗逐渐广泛应用微创技术，在面部色素痣患者中应用微创切除术治疗，具有手术创伤小、治疗效果良好、安全性高等优势，可将病变组织彻底切除，降低复发风险[4]。基于此，本研究结合我院2022年6月-2023年6月收治的68例面部色素痣患者临床资料，旨在比较皮瓣成型术与微创切除治疗面部色素痣的临床效果，现报道如下。