中新网广州8月6日电 (郭军 黎静研)广东祈福医院6日发布消息，已成功为一名年仅2岁半的幼儿切除其头顶的先天性巨型黑毛痣，目前患者恢复良好，已顺利出院。
来自广东惠州的患者乐乐(化名)，头顶部长了大小约10cm*14cm的黑毛痣，覆盖了大半个头皮。据广东祈福整形美容中心首席顾问、整形外科主任医师胡志奇介绍：“这种先天性巨痣，将来有可能随着年龄增长而增大，不仅严重影响外观，导致孩子容易遭受异样目光产生自卑心理，还有一定的恶变率，需要手术切除。”
据了解，黑毛痣是色素痣的一种类型，是由痣细胞在局部聚集而形成的良性肿瘤，其特点是面积较大，分布广泛，极其影响外观。黑毛痣的大小和生长部位因人而异，一般可以采取激光、手术等方式综合治疗，而像乐乐这样的先天性巨痣，则需手术切除。
乐乐(患名)头顶长有先天性巨型黑毛痣，正在医院接受治疗。广东祈福医院 供图
“像乐乐这样巨大的头顶部黑毛痣，建议一期采用头部皮肤扩张器置入术，充分扩张病损周围皮瓣，二期再一次性全部切除黑素细胞痣，利用扩张皮瓣覆盖创面。这样既可以尽量减少手术次数，减轻幼儿痛苦，又可以尽可能地保留供区的功能和外观。”胡志奇教授解释手术方案。
4月中旬，乐乐进行一期头部皮肤扩张器置入术，之后是长达3个月皮瓣养护。7月初进行了二期手术，成功取出扩张器，同时一次性切除黑毛痣皮肤，并采用皮瓣修复切除创面。
胡志奇教授称， “移植过去的皮瓣，颜色、质地都与健康部位的皮肤接近，而且还能长出毛发，完全恢复后从肉眼几乎看不出区别。”
广东祈福医院的这一成功案例不仅为患儿乐乐带来了外观和心理上的双重改善，也为类似情况的患者提供了专业的治疗方案和希望。医院表示，将继续致力于提供高质量的医疗服务，帮助更多患者恢复健康。
英语如下：
Title: “Two-Year-Old Patient Successfully Removed Massive Congenital Nevi”
Keywords: Skin Rejuvenation, Congenital Nevi, Cured
News Content:
Guangzhou, August 6 (Xinhua Net, Li Xingyan) A message released by Guangdong Qifu Hospital on the same day reported that the hospital has successfully removed a congenital giant black nevus from the forehead of a two-and-a-half-year-old child, who is currently recovering well and has been discharged smoothly.
The child, named Lè Lè (pseudonym) from Huizhou, Guangdong Province, had a congenital nevus measuring about 10 cm * 14 cm covering nearly half of his scalp. According to Hu Zhiqi, the chief consultant of the plastic surgery and cosmetic surgery center at Guangdong Qifu Hospital and a director of the plastic surgery department, “Such congenital giant nevi may grow larger as the child ages, not only severely affecting appearance and making the child susceptible to odd looks and developing a sense of inferiority, but also having a certain rate of malignant transformation, requiring surgical removal.”
It is understood that melanocytic nevi are a type of pigmented nevi, which are benign tumors formed by the aggregation of nevus cells in a local area. They are characterized by a large area and widespread distribution, which severely affects appearance. The size and location of melanocytic nevi vary from person to person, and can generally be treated with a combination of laser therapy and surgery. However, for congenital giant nevi like Lè Lè’s, surgical removal is necessary.
Lè Lè, whose congenital giant melanocytic nevus is being treated at the hospital, was supplied by Guangdong Qifu Hospital.
“For a large melanocytic nevus on the forehead as in Lè Lè’s case, it is recommended to use a scalp skin expander in the first stage to fully expand the surrounding skin flap, and in the second stage to remove the entire nevus cells nevus in one operation, using the expanded skin flap to cover the wound. This approach can reduce the number of surgeries, alleviate the child’s pain, and preserve the function and appearance of the donor area as much as possible.” Professor Hu Zhiqi explained the surgical plan.
In mid-April, Lè Lè underwent the first stage of the scalp skin expander implantation surgery, followed by three months of skin flap nursing. In early July, the second stage surgery was performed, successfully removing the expander and the congenital melanocytic nevus in one operation, and using the skin flap to repair the excised wound.
Professor Hu Zhiqi said, “The skin flap transplanted is similar in color and texture to healthy skin, and can even grow hair. After complete recovery, it is almost impossible to see any difference with the naked eye.”
The successful case of Lè Lè not only brought about physical and psychological improvements, but also provided a professional treatment plan and hope for patients with similar conditions. The hospital stated that it will continue to focus on providing high-quality medical services to help more patients recover their health.
【来源】http://www.chinanews.com/life/2024/08-06/10264652.shtml
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