Surgical resection combined with in situ skin grafting for the treatment of KHE and functional reconstruction
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摘要: 目的:四肢卡波西样血管内皮瘤(KHE)进行外科切除术后常发生肢体及关节活动受限功能障碍,传统手术切除联合原位植皮术显著提高治愈率及减少关节活动受限等并发症,为外科治疗KHE提供临床经验。方法:对于内科治疗无改善的13例患者手术切除瘤体并将病变表层皮片进行原位植皮。结果:肿瘤切除联合原位植皮术后血小板快速提升至正常,凝血系统逐渐改善,植皮区愈合良好,临近关节主动被动活动达到功能位。结论:手术切除联合原位植皮治疗四肢KHE不仅病灶清除彻底而且术后血小板改善速度快,随诊未见复发,更重要的是患肢及临近关节恢复正常功能。Abstract: Objective:Limbs Kaposiform Hemangioendothelioma often appears limb and joint movement dysfunction after surgical resection.Traditional surgical resection combined with in situ skin grafting improves the surgical treatment of KMP, providing clinical experiences for improving the cure rate and reducing complications.Method:To choose 13 cases with no medical treatment, and then surgical resect the tumor and skin lesions in suit skin graft.Result:After tumor resection combined with in situ skin grafting, the platelet rapidly rises to normal, the blood coagulation system gradually improved, the skin graft area is healed well, and the active and passive movements near the joint reach to the functional position.Conclusion:Surgical resection combined with in situ skin grafting clears the lesion completely and improves thrombocyte quickly without the recurrence.The more important is the limb and joint recover normal function.
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