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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 solve the immediate repair of large vulvar defect after radical operation of vulvar cancer. Methods From March 1992 to December 1995, 4 cases of carcinoma located in the posterior half of the vulva vestibular area with large carcinoma were treated with myofascial myocutaneous flap to repair vulvar defect immediately after radical operation. Results Postoperative genital incision healed in 3 cases, and in the second stage healed in 1 case, with type Ⅱ diabetes mellitus. After 3 to 6 years of follow-up, 1 case of local recurrence 2 years after surgery, 1 year after surgery died of an accident. More than 3 patients were alive without cancer recurrence and complications. Conclusions The application of myofascial myocutaneous flap in the treatment of vulvar cancer after radical resection can significantly reduce the complications and improve the quality of life in patients with larger defects of the vulva.