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作 者:张永胜[1] 肖大江[1] 袁渊[1] 朱国臣[1] 吴四海[1]
机构地区:[1]南京医科大学附属无锡市第二人民医院耳鼻咽喉头颈外科,江苏无锡214002
出 处:《临床耳鼻咽喉头颈外科杂志》2012年第8期357-359,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery
摘 要:目的:探讨鼻部基底细胞癌的切缘与复发的关系。方法:鼻部基底细胞癌患者26例,采用Mohs显微手术切除15例,常规手术切除11例。结果:26例均一期切除并修复,切口愈合良好。术后2例复发,经再次切除并修复后未见复发。结论:鼻部基底细胞癌手术中冷冻切片可指导手术切除范围的大小,节省了组织并有利于修复,复发率明显降低,但手术费用和时间有所增加。Objective: To discuss the relationship between surgical margin and recurrence of nasal basal cell carcinoma. Method:Twenty-six cases of nasal basal cell carcinoma were analyzed. Mohs microsurgical operation was used in 15 cases and conventional operation was used in 11 cases. Result:Twenty-six cases of the tumors were resected and the wound defect was repaired concurrently. Two cases with tumor recurrence were subjected second- ary resection and then no recurrence occured. Conclusion: Intraoperation frozen section can help guide the surgical margin. Skin tissue was saved and the repair was facilitated, it also help save the skin tissue , facilitate the repair, reduce the recurrence rate but increased the operation cost and time.
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