中华皮肤科杂志 ›› 2008, Vol. 41 ›› Issue (7): 487-487.

• 皮肤外科 • 上一篇    下一篇

改良Mohs显微描记手术26例分析

艾勇 罗来华 陈洪波 薛玮   

  1. 江西省皮肤病专科医院皮肤外科
  • 收稿日期:2007-11-01 修回日期:2007-11-24 发布日期:2008-07-15
  • 通讯作者: 艾勇 E-mail:aiyong1023@yahoo.com.cn

Reformed Mohs micrographic surgery in the treatment of 26 cases of skin carcinoma

  

  • Received:2007-11-01 Revised:2007-11-24 Published:2008-07-15

PDF

102

摘要： 目的　观察改良Mohs显微描记手术治疗皮肤癌的临床疗效。方法　沿皮损外约2mm～4mm切除病灶，用数码相机拍下切除组织的位置及形状，并即时打印，将送检的组织在打印图纸上及病人身上相对应的位置作相同的记号。然后按Mohs显微描记手术其他步骤进行。结果　26例患者经改良Mohs显微描记手术治疗，所有切口均Ⅰ期愈合，皮片或皮瓣均成活，随访1个月～2年，除一例头皮复发性鳞状细胞癌术后一月复发外，余患者均治愈，肿瘤无复发。结论　改良Mohs显微描记手术可指导手术医生更精确地控制扩大切除的范围，在根治肿瘤的同时最大限度的保留正常组织，为下一步的成形修复创造最佳条件。

关键词: Mohs显微外科手术, 皮肤癌, 改良, Mohs显微描记手术, 皮肤癌, 改良, Mohs显微描记手术, 皮肤癌, 改良

Abstract: Objective:To observe the curative effect of improved Mohs micrographic surgery for skin cancer. Methods: Cut focus at about 2mm～4mm around the tumour, take photos of the shape and the position of cuted tissue by digital camera, and print them on time, mark the delivered tissue correctly on the blueprint and patient's body. Then carries on according to the other steps on Mohs micrographic surgery.Results:Follow up was one month to two years.25 cases were cured .1 case of recrudescent squamous cell carcinoma is recrudesced. Conclusion:Improved Mohs micrographic surgery for the skin cancer could effect a radical cure tumour and remain more normal tissue so that reconstruction of secondary wound would be easy.

Key words: Mohs micrographic surgery, Skin cancer, Improve, Mohs micrographic surgery, Skin cancer, Improve, Mohs micrographic surgery, Skin cancer, Improve