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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。
Objective: To investigate the therapeutic effect of combined application of Mohs surgery and plastic surgery on malignant tumors of the head and face. Methods: Thirty - seven cases of skin cancer were divided into Mohs treatment group (n = 12) and general surgery group (n = 25). Myeloma flap, flap, free skin flap or direct suture was used to repair the tumor wound. Results: The wounds of Mohs group were healed at first stage and all the flaps survived. No recurrence was observed after 2 years. The wounds and flaps of the general surgery group were well healed, but 4 (16%) had recurrence at 2 years of follow-up. Conclusion: The combination of Mohs surgery and plastic surgery is the best method to treat skin malignant tumors.