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目的探讨复发性外阴Paget病行Mohs显微手术的效果。方法回顾性分析接受Mohs显微描记手术切除治疗的15例复发性外阴Paget病患者的临床资料。结果 15例患者手术切口均愈合良好,外观及功能未见异常,达到Ⅰ期愈合,均无皮瓣愈合不良等不良反应。术后随访1.5~4.5年,未见肿瘤复发和转移。结论应用Mohs显微外科描记手术治疗复发性外阴Paget病效果好,复发率低,安全性高。
Objective To investigate the effect of Mohs microsurgery on recurrent genital Paget pathology. Methods The clinical data of 15 patients with recurrent genital Paget who underwent Mohs microsurgical resection were analyzed retrospectively. Results All the 15 cases had good incision, no abnormal appearance and function, and achieved the primary healing without any adverse reactions such as poor healing of the flap. Follow-up 1.5 to 4.5 years after surgery, no tumor recurrence and metastasis. Conclusion Mohs microsurgery in the treatment of recurrent genital Paget disease effect, low recurrence rate, high safety.