Mohs显微外科手术在头面部恶性肿瘤治疗中的应用

Application of Mohs microsurgery for treating head and face malignant tumors

目的：探讨Mohs显微外科手术方法对头面部皮肤恶性肿瘤治疗的效果及预后。方法：70例皮肤恶性肿瘤采用经典外科手术方法或Mohs显微外科手术方法切除肿瘤。结果：70例患者中采用经典外科手术方法治疗42例,随访时间6个月~6年,全部患者未见远处转移,有4例患者局部肿瘤复发再次经经典外科手术方法切除后临床痊愈。采用Mohs显微外科方法治疗28例,随访时间6个月~2年,患者未见肿瘤局部复发以及远处转移。结论：皮肤恶性肿瘤的手术治疗方法应当首选Mohs显微外科手术,在保证肿瘤被完整切除干净的同时,最大限度地保留正常皮肤组织,减少手术对患者容貌的过度破坏。

Objective：To investigate the effects and prognosis of Mohs microsurgery for treating skin malignant tumors in head and face.Methods：70 cases of skin malignant tumor were resected by classic surgical operation or Mohs microsurgical operation.Results：Among 70 cases of skin malignant tumors,42 cases were performed the classic surgical operation and followed up from 6 months to 6 years.All cases had no distant metastasis.4 cases were performed the second classic surgical operation due to local recurrence and were clinically cured after operative excision.28 cases were performed Mohs microsurgical operation and followed from 6 months to 6 years,showing no local recurrence or distant metastasis.Conclusion：The Mohs micro surgical method is the first choice to treat skin malignant tumors,which can completely resect tumor,at the same time reserve the normal skin tissues to the greatest extent and reduce the excessive damage to patient′ appearance by operation.