阴股沟带蒂皮瓣修复外阴缺损五例分析  

Clinical Analysis of 5 Cases of Vulvar Reconstruction with Vulvar-Inguinal Skin Flaps

作　　者：吴海根[1] 罗兵[1] 肖庆昌[1] 

机构地区：[1]江西省妇幼保健院肿瘤科,南昌330006

出　　处：《实用临床医学（江西）》2006年第8期102-103,共2页Practical Clinical Medicine

摘　　要：目的:探讨外阴切除术后阴股沟带蒂皮瓣修复外阴术式。方法:对5例单纯外阴切除术后患者,根据缺损面积采用阴股沟带蒂皮瓣及改良后的阴股沟带蒂皮瓣对外阴缺损进行修复。结果:2例阴股沟皮瓣出现右侧皮瓣远端约0.5 cm×1.0 cm张力性水泡及坏死,经换药后Ⅱ期愈合,另3例阴股沟带蒂皮瓣均Ⅰ期愈合;术后3月均恢复性生活,重建外阴丰满。结论:外阴修复应根据外阴缺损面积大小选取适宜的方法,以最小损伤获得外阴解剖外观及功能恢复。Objective：To explore the method of vulvar-inguinal skin flaps reconstruction after vulvectomy. Methods： Five case were operated on vulvar reconstruetion with vulvar-inguinal skin flaps after vulvectomy,according to styles of vulvae operation,the sites and area of defects in vulva. Rusults. First intention was 3 case and 2 case was second intention. All patients could have sexual life in three months after operation. Reconstructed vulva was satiey. Conclusion： Vulvae reconstruction could improve its function and dissection on the basis of styles of vulvae operation, the sites and area of defects in vulva.

关 键 词：外阴癌 外阴重建 皮瓣 手术治疗 

分 类 号：R737.35[医药卫生—肿瘤]