96中国美容医学2013年1月第22卷第1期ChineseJoumalofAestheticMedicine.Jan.2013.V01.22.No.1胶原蛋白海绵人工真皮在皮肤鳞状细胞癌创面修复中的应用郝岱峰,李涛,冯光,李善友,张新健(解放军总医院第一附属医院烧伤整形科创口修复中心北京100048)·论著·[摘要]目的:探讨胶原蛋白海绵人工真皮在修复鳞状细胞癌切除后深度皮肤软组织缺损中的应用。方法:选择下肢皮肤鳞状细胞癌患者11例,均术前活检证实,术中按无瘤原则切除清创后,凿除外露骨皮质,将胶原蛋白海绵人工真皮覆盖缝合,外敷持续封闭式负压固定,3周后取自体薄皮片移植于其上,7天后更换负压装置并观察。结果:11例患者鳞癌切除后5例胫骨外露,3例肌腱外露,胶原蛋白海绵人工真皮覆盖后肉芽组织增生迅速,深部组织良好覆盖,均于首次术后21天左右行II期植皮手术,创面愈合良好。结论:胶原蛋白海绵人工真皮应用于鳞状细胞癌切除后深度皮肤软组织缺损的修复效果良好,操作简便,局部损伤小,愈后瘢痕增生轻微,利于肿瘤后期治疗,且不增加供皮区瘢痕。[关键词]人工真皮;鳞状细胞癌;修复[中图分类号]R622[文献标识码]A[文章编号]1008—6455(2013)0卜0096—02C¨nicaIappIicationOfCo¨agenspOngeartmcialdermisinrepairingthewOundafterskinSqUamOUSCe¨CarCinOma怜SeC竹OnHAODai—feng,LITao,FENGGuang,UShan—you,ZHANG×jn—jian(TheFirstA仟⋯afedHospitaItofhePLAGeneraIHospifaI,Be⋯ng100048,China)Abstract:ObjectiVeTostudytheeffectofCo|lagenspongeartjflciaIdermisinrepairingdeepskinandsofttissuedeficiencyafterskinsquamOusceIIcarcinOmaresectiOn.MethodsAtOtalOf11patientsw计hskinsquamOusce|IcarcinOmaOfIOwerIimbfrOmOurwardwereseIected.A||patienlshadacertainpathOlOgicaIdiagnOsisbeforesurgery.WeusednOn—neOpIasmalOuchtechnOlOgyaIIlhrOughthesurgery.AfterthedebrIdement,weremOVaIedthecOrtexOftheexposedbOne,andsuturedtheCOIIagenspongeartificialdermisonthewOund,fixedtheartificialdermiswithconiinuousnegafiVepressureequipmenffor21days(obserVelhewoundcondifionper7days),andfhendidtheautOI090usspIif—lhicknessskintranspIanfaliOn.ResuItsTherewere5patientswifhtibiaexpOsureand3pafientswifhtendonexpOsure矾ertheSquamOuscarcinOmaresectiOn.AfterusingtheCO||agenspOngeartificialdermisfOr21days,the...