本文選題：Mohs手術(shù)　切入點(diǎn)：皮膚惡性腫瘤　出處：《中國(guó)現(xiàn)代醫(yī)學(xué)雜志》2017年18期 　論文類型：期刊論文

【摘要】：目的探討Mohs顯微描記手術(shù)治療頭面部基底細(xì)胞癌、鱗狀細(xì)胞癌及鮑溫病等皮膚惡性腫瘤的療效和預(yù)后,分析頭面部皮膚惡性腫瘤的臨床特點(diǎn)。方法該院收治的未見(jiàn)轉(zhuǎn)移的面部皮膚惡性腫瘤患者411例,分為Mohs手術(shù)組256例,傳統(tǒng)術(shù)中冷凍手術(shù)組130例,經(jīng)驗(yàn)切除組25例,并對(duì)切取腫瘤創(chuàng)面采用鄰近皮瓣、肌皮瓣及游離皮片或直接縫合方式修復(fù)。隨訪3~5年。結(jié)果 Mohs手術(shù)組248例手術(shù)切口Ⅰ期愈合,皮瓣或皮片全部成活,8例Ⅱ期愈合,2例復(fù)發(fā)(0.8%)。傳統(tǒng)術(shù)中冷凍手術(shù)組125例手術(shù)切口Ⅰ期愈合,5例Ⅱ期愈合,7例復(fù)發(fā)(5.4%)。經(jīng)驗(yàn)切除組25例均Ⅰ期愈合,4例復(fù)發(fā)(16%)。各組術(shù)后病理復(fù)檢發(fā)現(xiàn),腫瘤殘余和臨床復(fù)發(fā)率差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論 Mohs手術(shù)可以在完整切除腫瘤的同時(shí)盡可能保留正常組織減少外觀影響,是目前治療頭面部皮膚惡性腫瘤的首選方案。
[Abstract]:Objective to evaluate the efficacy and prognosis of Mohs micrography in the treatment of skin malignant tumors such as basal cell carcinoma, squamous cell carcinoma and Bowen's disease. Methods the clinical features of malignant tumors of head and face were analyzed. Methods 411 cases of facial malignant tumors without metastasis were divided into three groups: Mohs group (n = 256), conventional cryopreservation group (n = 130) and experiential resection group (n = 25). The tumor wounds were repaired with adjacent flaps, myocutaneous flaps and free skin grafts or direct suture. All the skin flaps or skin grafts survived in 8 cases with stage 鈪，

本文編號(hào)：1581271