颌面部基底细胞癌的激光外科治疗

Surgical laser treatment for base cell carcinoma of maxillofacial region

目的:介绍应用精确聚焦的CO2激光光刀切除治疗颌面部基底细胞癌的方法,并与传统方法比较。方法:对收治的6例确诊的基底细胞癌患者,采用局麻下CO2光刀切除术,术中冷冻切片病理检查,术后随访。结果:6例患者术后随访2a年以上,均获根治,且面部外形满意。结论:激光光刀治疗基底细胞癌,具有彻底、安全、简便、出血少的优点,适于推广。

PURPOSE: Base cell carcinoma is a common skin malignancy involved in the facial area. Present surgical removal, cryosurgery and laser evaporation are the effective modalities. Following the development of laser technology, we used fine focused carbon dioxide laser surgery to treat basal cell carcinoma of the maxillofacial region. METHODS: Six cases of base cell carcinoma were included in this study. Tumors were removed by CO2 laser scalpel under local anesthesia. Intra-operative laser biopsy and post-operative follow up was carried out. RESULTS: six cases had radical result with a follow up of two years post-operatively with satisfactory contour. CONCLUSION: Laser scalpel excision can get radical result for basal cell carcinoma with advantages of safety, simple and less bleeding. It is recommended to be used.