Mohs显微外科手术75例回顾分析

Mohs micrographic surgery： a retrospective study of 75 eases

目的 分析Mohs显微外科手术的意义及特点。方法 对75例Mohs显微外科手术病例进行回顾性分析。结果 手术病例中多为老年人，基底细胞癌、Bowen病等为最常见的受治病种。部分肿瘤经多次扩大切除才被切净，最终切除面积大于常规方法切除的面积。68%为头面部手术，头面部缺损多需要应用复杂成形修复。手术缺损最终大小与患者年龄及皮肤肿瘤发生部位无关。结论 对于切除皮肤肿瘤、Mohs显微外科手术比常规切除方法更彻底，有助于切除后手术缺损的成形修复。

Objective To analyze the significance and characteristics of Mohs micrographic surgery,and to provide instances for development of Mohs micrographic surgery in China.Methods A retrospective study was performed on 75 cases managed with Mohs micrographic surgery.Results Aged patients perdominated in this study.Basal cell carcinoma and Bowen disease were the most common diseases.To achieve a thorough removal of tumors,some patients experienced several times of resection during the course of Mohs micrographic surgery,and the resultant defects were larger than those treaed by routine operations .Of the 75 cases underwent the operation,68% were performed on the head or face,and the edfects here usually needed to be repaired by comples plastic surgery.The size of final defects was unrelated to the age of patients or location of tumors.Conclusions Compared with the traditional approach of operation ,Mohs micrographic surgery could increase the cure tates of skin tumors,and do benefit the reconstrucation of defects following resection.