目的 评价Mohs显微描记手术治疗鼻部皮肤基底细胞癌的效果。方法 2014年,对40例鼻部皮肤基底细胞癌患者进行Mohs显微描记手术,观察手术效果,并与传统扩大切除手术进行比较。结果 40例基底细胞癌均通过Mohs显微描记法切除,肿瘤扩大切除范围平均1.8 mm。39例均Ⅰ期愈合,术后外形、效果满意。术后随访6~24个月,无1例复发。结论 对于鼻部基底细胞癌,Mohs显微描记手术比传统扩大切除更彻底,可提供更多的创面修复方案。

Objective To evaluate the effect of Mohs micrographic surgery in nasal basal cell carcinoma. Methods In 2014, 40 cases with nasal basal cell carcinoma were treated by Mohs micrographic surgery. The surgical effects were observed and compared with the traditional extended resection. Results The mean margin in this group using Mobs micrographic surgery was 1.8 mm. Operative incision of 39 cases were primary healing. Patients were satisfied with the appearance and surgical effects. All the patients were followed up for 6 to 24 months, no recurrence was observed. Conclusion Mobs micrographic surgery is more complete than traditional extended resection for treating nasal basal cell carcinoma. It can make more solutions to repair the lesions.