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外阴癌是女性外阴最常见的恶性肿瘤,长期以来以手术治疗为主。手术是否彻底,直接影响疗效。外阴癌常累及尿道,故手术要彻底,必须将尿道及周围的组织一并切除。为使病人正常排尿,我们设计了膀胱褶叠成形代尿道的术式。自1987年4月以来治疗9例,其中8例保留膀胱括约肌,均获成功,1例行膀胱括约肌连同部分膀胱切除,手术失败。临床资料患者年龄51岁～82岁,平均年龄64岁。菜花型、溃疡型各2例,结节型5型。尿道口癌3例,前庭部癌4例,阴道前壁和双侧大阴唇癌各1例。按FIGO分期法,Ⅲ期1例,Ⅳ期1例。主要症状是尿病、尿频、排尿困难。9例均为鳞状上皮癌。
Vulvar cancer is the most common malignant tumor of the female vulva, long-term surgical treatment. Surgery is complete, a direct impact on efficacy. Vulvar cancer often affects the urethra, it is necessary to surgery, the urethra and the surrounding tissue must be removed. In order to make the patient urinate normally, we designed the procedure of bladder pleating to form the urethra. Since April 1987, 9 cases have been treated, of which 8 cases retain the bladder sphincter and have been successful. One case underwent bladder sphincter excision with partial cystectomy, and the operation failed. Clinical data Patients aged 51 years to 82 years, mean age 64 years. Cauliflower type, ulcer in 2 cases, nodular type 5. 3 cases of urethral cancer, 4 cases of vestibular carcinoma, anterior vaginal wall and bilateral labia majora carcinoma in 1 case. According to FIGO staging method, stage Ⅲ in 1 case and stage Ⅳ in 1 case. The main symptoms are diabetes, urinary frequency, dysuria. Nine cases were squamous cell carcinoma.