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目的探讨面部皮肤癌的手术治疗及修复整形的临床效果。方法 94例面部皮肤癌,根据病灶的部位、范围和术中冰冻切片,进行扩大切除后采取游离创缘后拉拢缝合、游离耳后皮片移植和局部皮瓣转移一期修复创面。结果患者皮瓣及皮片全部一期成活,切口愈合良好,外形满意。随访1个月～3年,1例低分化鳞癌术后,发生肺转移,1年后死亡。结论面部皮肤癌宜早期行手术扩大切除术,术中切缘冰冻切片可以保证肿瘤的完全切除。并根据不同情况选用不同方法修复创面,可取得较满意的疗效及预后。
Objective To investigate the surgical treatment of facial skin cancer and the clinical effect of plastic surgery. Methods Ninety-four patients with facial skin cancer were divided into two groups according to the location of the lesion, the range of the lesion, and the intraoperative frozen sections. The patients were followed up by free margin incision, suture closure, free posterior flap skin graft and local flap metastasis. Results All patients with skin flap and skin survived, the incision healed well and the appearance was satisfactory. Followed up for 1 month to 3 years, 1 case of poorly differentiated squamous cell carcinoma after operation, lung metastasis, died after 1 year. Conclusion Facial skin cancer should be treated with surgical resection in the early stage. The frozen section of the incision can ensure complete resection of the tumor. According to different circumstances and choose different methods to repair the wound, can be more satisfied with the efficacy and prognosis.