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目的探讨阴囊皮瓣在阴茎阴囊部Paget病局部广切术后创面修复中的应用。方法2010年1月至12月,我科对12例阴茎阴囊部Paget病患者行局部广切及一期阴囊皮瓣覆盖。详细记录评估患者的临床病理学资料、手术切缘情况及临床转归。广切术后皮肤缺损范围48～96(中位72)cm2,中位随访时间为30(27～39)个月。结果所有皮瓣愈合满意,随访期间无局部复发或远处转移。结论局部广切手术可以治愈浅表阴茎阴囊部Paget病。对于术后较大的皮肤缺损,阴囊皮瓣覆盖是一种安全可靠的方法。
Objective To investigate the application of scrotal skin flap in the repair of wounds after partial gastrectomy of Paget’s disease in the penis and scrotum. METHODS: From January to December 2010, 12 cases of Paget’s disease in our penis and scrotum were covered with a partial scleral flap and a primary scrotal flap. Detailed records to assess the patient’s clinical and pathological data, surgical margins and clinical outcomes. The range of skin defects was 48 ~ 96 (median 72) cm2 after wide incision, and the median follow-up time was 30 (27-39) months. Results All the flaps were cured satisfactorily and no local recurrence or distant metastasis was observed during follow-up. Conclusion Local radical surgery can cure superficial penis scrotum Paget disease. For larger postoperative skin defects, scrotum flap coverage is a safe and reliable method.