阴囊、阴茎Paget病的整形外科治疗

目的:探讨阴囊、阴茎Paget病的临床特征及整形外科治疗方法。方法:分析1997~2007年收治的11例阴囊、阴茎Paget病,术前均经临床诊断和病理检查,手术采用扩大切除病变,然后用局部随意皮瓣、岛状皮瓣转移或辅以游离皮片移植等整形方法修复病变切除后遗留的缺损。结果:1例因感染皮瓣部分裂开而延迟愈合,其余10例伤口均愈合良好,11例均得到术后1~4年随访,1例2年后复发再次手术治疗,1例4年后死于淋巴瘤合并肺部感染。本组患者阴囊、阴茎基本上保存了原来的形态及收缩性,形态和功能均较满意。结论:在根除病变的同时采用整形外科方法既能修复阴囊、阴茎Paget病的皮损,又能完好地恢复其外形及功能。

Plastic Treatment of Paget''''s Disease of the Scrotum and Penis

OBJECTIVE: To explore the clinical features and plastic treatment of Paget's disease of the scrotum and penis. METHODS: We analyzed 11 cases of Paget's disease of the scrotum and penis treated from 1997 to 2007. Extended excision of the focus of infection was performed and the skin absence was repaired by free skin grafting, local random skin flap, and island skin flap. RESULTS: Satisfactory wound healing was achieved in all but 1 case, which was delayed due to infection. All the patients were followed up for 1-4 years. One patient relapsed 2 years after the surgery and received a second operation, and another 1 died of lymphoma complicated by lung infection. The original shape and contractibility of the scrotum and penis were basically preserved and their appearance and function were fairly good. CONCLUSION: For patients with Pagets disease of the scrotum and penis, it is a desirable method to at once excise the lesion and repair the skin absence by plastic surgery.