摘要
目的:探讨头面部皮肤恶性肿瘤采用Mohs手术和整形技术联合应用的治疗效果。方法:37例皮肤恶性肿瘤分为Mohs治疗组12例,普通手术组25例,并对切取肿瘤创面采用肌皮瓣、皮瓣、游离皮片,或直接缝合方式修复。结果:Mohs治疗组病例伤口Ⅰ期愈合,皮瓣全部成活,随访2年无复发。普通手术组病例伤口及皮瓣愈合好,但在2年随访中有4例复发(16%)。结论:Mohs手术和整形技术联合应用是治疗皮肤恶性肿瘤的最佳方法。
Objective:To explore the therapeutic effect of Mohs surgery combining with plastic surgery to treat craniofacial cutaneous malignant tumors.Methods:Thirty-seven cases with cutaneous malignant tumors were divided into Mohs group(including 12 cases) and common surgery group(including 25cases).The skin defects were repaired with myocutaneous flaps transfer,skin flaps transfer,free skingrafting,or suturations.Results:All cases were followed up 2 years,only 4 relapse cases happened in common surgery group.Conclusion:It is the best method that Mohs surgery combining with plastic surgery to treat craniofacial cutaneous malignant tumors.
出处
《华西医学》
CAS
2009年第10期2530-2532,共3页
West China Medical Journal