原发性局部转移的外阴阴道癌的标准治疗方案是采用传统的外阴广泛切除加腹股沟淋巴结切除术及选择性盆腔淋巴结清扫术。但已有盆骨浸润或固定的局部晚期外阴阴道癌在治疗上是个难题。虽大多数研究认为肿瘤骨固定不能行手术治疗,但亦有采用耻骨切除术的少量报道。本文报道采用这种手术治疗12例病人的结果与评价。 1960年1月至1988年2月,Minnesota大学共对12例晚期及复发或转移外阴阴道癌病人进行了耻 The standard treatment of primary locally metastatic vulvovaginal cancer is the use of conventional vulvar dissection plus inguinal lymph node dissection and selective pelvic lymph node dissection. However, pelvic bone infiltration or fixed locally advanced vulvar vaginal carcinoma in the treatment is a problem. Although most studies suggest that surgical fixation of tumor bone can not be performed, there are few reports of puborectal excision. This article reports the results and evaluation of 12 patients treated with this procedure. From January 1960 to February 1988, Minnesota University, a total of 12 cases of patients with recurrent or metastatic vulvar vaginal cancer were ashamed