【摘要】 目的:探讨颌面部皮肤癌手术切除后修复的疗效观察。方法:42例颌面部皮肤癌患者根据病灶部位和大小,应用直接拉拢、游离皮片移植和邻近随意皮瓣等方法进行修复,术中做冰冻切片决定手术切缘。结果:所有病例均一期愈合,外形满意。2例低分化鳞癌术后,发生肺转移,1年后死亡。结论:颌面部皮肤癌术中切缘冰冻可以保证肿瘤的完全切除。根据患者具体情况选择不同修复方法,其中邻近组织瓣修复有较为满意的效果。更多还原

【Abstract】 Objective To investigate reconstructed methods and clinical effects of maxillofacial skin cancer.Methods Forty-two patients with maxillofacial skin cancer were repaired with different surgical measures,such as direct closure,skin graft and random flaps.All resection margins were checked by intraoperative frozen section.Results All defects were closed primarily,the facial appearance and function were satisfied,followed-up for 6 months to 3 years,2 patients with poorly differentiated squamous cell carcinoma died due to the occurrence of lung metastases after one year.Conclusion It’s important to ensure complete removal of tumor by intraoperative frozen section.The method for repair of the postoperative defect should be individualized and random flap could obtain better cosmetic results.更多还原