目的探讨部分切除结合皮肤扩张术,快速治疗体表大面积色素痣的临床应用价值。方法应用部分切除结合皮肤扩张术,两期法快速治疗11例体表大面积色素痣患者(面积7.0 cm×5.0 cm~35.0 cm×22.0 cm)。术后随访12~24个月评价疗效。结果 10例患者顺利完成整个治疗过程,最短治疗时间4周,最长9周,平均6周。1例因扩张器皮下血肿中止治疗。随访12~24个月,效果满意。结论部分切除结合皮肤扩张术是快速治疗体表大面积色素痣较好的方法。

Objective To investigate the clinical application of partial nevus excision combined with skin expansion for rapid treatment of large-sized external nevus. Methods Eleven patients with large-sized external nevus were performed two stage rapid treatment of partial nevus excision combined with skin expansion. The nevus sizes varied from 7.0 cm ×5.0 cm to 35.0 cm ×22.0 cm. All the patients were followed up for 12 to 24 months to investigate the clinical efficacy. Results Ten patients completed the whole course of treatment successfully and were satisfied with the results. The minimum duration was 4 weeks, the maximum duration was 9 weeks, and the mean duration was 6 weeks. The main complication was hematoma, occurred in 1 case. Conclusion Partial nevus excision combined with skin expansion is a good method for rapid treatment of large-sized external nevus.