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目的探讨应用腹壁下动脉穿支皮瓣修复外阴癌根治术后创面的方法及效果。方法自2010年5月至2015年3月,对6例外阴癌的患者均采用广泛的外阴癌根治术,扩大切除所受累的外阴皮肤。根据切除后外阴组织缺损面积的大小,在腹壁切去相同大小的腹壁下穿支皮瓣,以一侧腹壁下动静脉为蒂,通过阴阜区皮下隧道转移至外阴,重建外阴形态。结果 6例患者切取腹壁下穿支皮瓣(6~10cm)×(12~17 cm),术后皮瓣全部成活,Ⅰ期再造尿道口、阴道口外形满意。结论采用腹壁下动脉穿支皮瓣修复外阴癌根治术后创面,皮瓣转移安全、方便,副损伤轻,术后外阴形态满意,是较好的外阴修复重建的方法之一。
Objective To investigate the method and effect of using the inferior abdominal artery perforator flap to repair the wound after radical operation of vulvar cancer. Methods From May 2010 to March 2015, extensive vulvar cancer radical mastectomy was performed in 6 patients with vulvar cancer, which enlarged the skin of the affected genital area. According to the size of the excised vulvar tissue defect area, cut off the same size of the abdominal wall under the abdominal wall pierced the branch flap, with one side of the abdominal wall arteriovenous pedicle, through the subdural zone subcutaneous tunnel to the vulva, reconstruction of the vulva shape. Results Six patients underwent 6 to 10 cm (12 to 17 cm) lower extremity flaps. Surgical flaps all survived. Stage I reconstruction of the urethra was satisfactory. Conclusion It is safe and convenient to use the inferior abdominal artery perforator flap to repair the wound after radical operation of vulvar cancer. It is safe and convenient to transfer the flap. The minor injury is slight and the shape of the vulva is satisfactory.