Mohs手术联合整形技术治疗颜面部皮肤恶性肿瘤的临床观察 |
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引用本文: | 陈明懿,刘刚,罗东升,应川蓬,杨镓宁,戴耕武,潘宁.Mohs手术联合整形技术治疗颜面部皮肤恶性肿瘤的临床观察[J].华西医学,2009(10):2530-2532. |
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作者姓名: | 陈明懿 刘刚 罗东升 应川蓬 杨镓宁 戴耕武 潘宁 |
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作者单位: | 四川省医学科学院·四川省人民医院皮肤病研究所,四川成都610072 |
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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。
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关 键 词: | Mohs手术 整形 皮肤 头面部 恶性肿瘤 |
Mohs Surgery Combining with Plastic Surgery to Treat Craniofacial Cutaneous Malignant Tumors |
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Institution: | CHEN Ming-yi,LIU Gang,LUO Dong-sheng,et al.(Sichuan Provincial People's Hospital,Chengdu Sichuan 610072,China ) |
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Abstract: | 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. |
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Keywords: | mohs surgery plastic skin craniofacial malignant tumors |
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