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1995年以来,我院收治下睑基底细胞癌10例,在切除肿瘤术中,带蒂皮瓣转移及远处游离全厚皮移植,修复大片的眼睑缺损区,并采用异体巩膜代替缺损的睑板,术后带蒂皮瓣及游离皮片全部成活,外观满意。材料与方法下睑基底细胞癌患者10例,男9例,女1例;年龄50岁-69岁;右下睑4例,左下睑6例;肿瘤大小10mm×6mm-15mm×10mm,溃疡性8例,结节性2例;术前检查未发现淋巴结肿大等癌症转移体征。术后经病理确诊。手术方法:局麻下行肿瘤切除术,切除范围包括下睑睑板及肿瘤组织外5mm 的正常组织,尽量保留结膜。术中冰冻切片,如边缘肿瘤残留,则扩大切除范围。根据下睑皮肤
Since 1995, 10 cases of basal cell carcinoma of the lower eyelids have been treated in our hospital. During excision of tumors, pedicle flaps and distant free thick skin grafts have been used to repair large areas of orbital defects, and allogeneic sclera has been used instead of defective ones. Plates, postoperative pedicle flaps and free skin flaps all survived and the appearance was satisfactory. Materials and Methods 10 cases of basal cell carcinoma of lower jaw, 9 males and 1 female; aged 50-69 years old; 4 cases of right lower quadrant and 6 cases of left lower quadrant; tumor size 10mm × 6mm-15mm × 10mm, ulcerative In 8 cases, nodular in 2 cases; preoperative examination did not find lymph node enlargement and other cancer metastatic signs. After the pathological diagnosis. Surgical methods: Tumor resection was performed under local anesthesia. The scope of resection included normal tissues of the lower jaw plate and the tumor tissue, and the conjunctiva was preserved as much as possible. Intraoperative frozen sections, such as marginal tumors, expand the extent of resection. Under the chin skin