股薄肌肌皮瓣修复外阴癌根治术后缺损  

VULVAR RECONSTRUCTION USING GRACILIS MYOCUTANEOUS FLAPS AFTER RADICAL VULVECTOMY

作　　者：王平[1] 彭芝兰[1] 陈爱萍 熊炬[1] 

机构地区：[1]华西医科大学附属第二医院妇产科

出　　处：《中国修复重建外科杂志》1999年第4期242-243,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的解决外阴癌根治术后较大外阴缺损的即刻修复。方法１９９２年３月～１９９５年１２月，对４例癌肿位于外阴前庭后半区，大癌肿的患者，在行根治术后即刻应用股薄肌肌皮瓣修复外阴缺损。结果术后外阴切口Ⅰ期愈合３例；Ⅱ期愈合１例，为患者合并Ⅱ型糖尿病。术后经３～６年随访，１例术后２年局部复发，再次手术后１年死于意外事故。余３例患者健在，无癌肿复发及并发症。结论外阴癌根治术后同期应用股薄肌肌皮瓣修复外阴较大缺损能大大减少并发症，提高患者的生活质量。Objective To introduce the method using the gracilis myocutaneous flaps to repair of vulvar defect after radical vulvectomy.Methods The gracilis myocutaneous flaps were applied in 4 cases with vulvar carcinoma which located vestibule of vulva and bulk, and the carcinoma was large after radical resection to repair vulvar defect simultaneously.Results The incision of 3 cases was healing by first intention, and 1 case with type Ⅱ diabetes mellitus was healing by second intention.After followed up 3￣6 years, 1 case was recurrent in 2 years after operation, 3 cases were survival without complication.Conclusion Vulvar reconstruction with the use of gracilis myocutaneous falps in radical vulvectomy could markly decrease the rate of complication.

关 键 词：外阴癌根治术 股薄肌肌皮瓣 修复 外阴缺损 

分 类 号：R737.350.5[医药卫生—肿瘤] R730.56[医药卫生—临床医学]