中国现代医学杂志2017，Vol.27Issue(18)：70-73,4.DOI:10.3969/j.issn.1005-8982.2017.18.014
Mohs显微描记手术治疗头面部皮肤恶性肿瘤
Analysis of Mohs microsurgery for treatment of craniofacial cutaneous malignant tumors
摘要
Abstract
Objective To investigate the effects and prognosis of Mohs surgery for treating craniofacial cutaneous malignant tumors,such as basal cell carcinoma (BCC),squamous cell carcinoma (SCC).Bowen's disease and actinic keratosis (AK) and analyze the clinical characteristics of craniofacial cutaneous malignant tumors.Methods Totally 411 cases of cutaneous malignant tumors without metastasis were enrolled,of which 256 cases were performed the Mohs microsurgery (group A),130 cases were performed surgical operation with the traditional intraoperative frozen-section examination (group B),25 cases were performed classic surgical operation (group C).Adjacent flap,myocutaneous flap,skin graft or direct suture was used to repair the wound.All were followed up for 3 to 5 years.Results In group A,248 cases were Ⅰ healing with skin flaps and skin grafts all survived;8 cases were Ⅱ healing,2 cases recurred (0.8％).In group B,125 cases were Ⅰ healing,5 cases were Ⅱ healing,7 cases recurred (5.4％).In group C,all cases were Ⅰ healing,4 cases recurred (16％).The recurrence rate was statistically differentanlong thro groups (P＜ 0.05).Conclusions Mohsmicrosurgery is the first choice to treat craniofacial cutaneous malignant tumors,which can resect tumor completely,at the same time reserve the normal skin tissues to the greatest extent and reduce the excessive damage to patients’ appearance by operation.关键词
Mohs手术/皮肤恶性肿瘤/头面部/治疗Key words
Mohs microsurgery/cutaneous malignant tumor/craniofacial/treatment分类
医药卫生引用本文复制引用
杨镓宁,吴冬梅,戴耕武,潘宁..Mohs显微描记手术治疗头面部皮肤恶性肿瘤[J].中国现代医学杂志,2017,27(18):70-73,4.基金项目
四川省卫生和计划生育委员会科研课题(No:140084) （No:140084）
