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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.