基底细胞癌边界的皮肤CT测定及中医体质研究-中医学专业论文.docxVIP

研究生优秀毕业论文 11 The The Research on Preoperat i ve Detect i on by Confoca l Laser Scann i ng M i croscopy and TCM Const i tut i on of Basa I Ce l l Carc i noma SpeciaIty：Surgery of TraditionaI Chinese MediCiRe，DermatoIogy Author：Yingyi Tang Tutor：Xu Kang Abst ract Object iMe Study the appl ication of CLSM(Confocal laser scanning microscope)to define the Mohs micrographic surgical boundaries and explore the regulation of TCM(traditional chinese medicine)constitution of basal cell careinoma． Methods The BCC(base eell carcinoma)patients were enrolled in the study basing on the indusion and exclusion criteria．CLSM examinations were performed to set up the boundaries．Marked and taked photos．The lesions were treated with Mohs micrographic surgical excision with the measuring poits． Intraoperative frozen biopsy and hi stopathology were performed to ascertain the CLSM margins．Marked and taked photos．The sizes of surgical area and the distance were calculated．Conducted a survey about TCM Constitution of the patients． ResuIts The average of CLSM area was 2．6363±2．5076 cm2．and the skin lesion area was 1．8275___1．8020 cm2 and the surgical area was 3．0847±2．8252 cm2(Z=-O．639， P=O．5230．05)． Most of the pat ients were YangXu const i tut ions，and the second and the third one was YinXu constitutions and ShiRe constitutions respectivelv． Conc lUS iOFI CLSM could detect tumor boundaries of bascal eell careinoma effectively， SO as to guide the Mohs Micrographic surgical resection of clinical lesions． Qiyu constitutions were the most in biased constitutions of the basal eell carcinoma patients． Key words：basal cell careinoma：confocal laser scanning microscopy：Mohs III micrographic micrographic surgery：constitution of traditional Chinese mediCine IV 目 目 录 广州中医药大学学位论文原创性声明 ．． 摘 要 ．I Abstract ．．III 目 录 ．V 引 言 ．1 第一章 文献研究 ．3 第一节基底细胞癌的研究状况 ．3 一、基底细胞癌病因学研究···················3 二、基底细胞癌的诊断·····················4 三、基底细胞癌的治疗·····················5 第二章 临床研究 ．9 第一节研究对象和方法 ．9 一、研究对象············