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男性外生殖器恶性肿瘤大块切除后缺损区的修复
引用本文:顾卫列 刘守业. 男性外生殖器恶性肿瘤大块切除后缺损区的修复[J]. 中国癌症杂志, 1998, 8(1): 51-53
作者姓名:顾卫列 刘守业
作者单位:上海医科大学附属肿瘤医院外科!上海200032
摘    要:目的 对局部晚期的男性外生殖器恶性肿瘤大块切除后缺损区的修复.方法 对本组11例患者行病灶广泛切除及淋巴结清扫后,运用筋膜皮瓣、腹直肌岛状肌皮瓣、臀大肌及阔筋膜张肌复合肌皮瓣进行缺损区修复,重点介绍了腹直肌岛状肌皮瓣的切除方法.结果 11例患者中10例患者修复区Ⅰ期愈合,1例延期愈合.结论 根据缺损程度选择合适的皮瓣是手术成功的关键.

关 键 词:男性外生殖器肿瘤  肌皮瓣  切除  修复

RECONSTRUCTION OF DEFECTS AFTER RESECTION FOR LOCALLY ADVANCED CARCINOMA OF EX-TERNALIA IN MAN
Gu Weilie,Liu Shouye,Wang Yanong. RECONSTRUCTION OF DEFECTS AFTER RESECTION FOR LOCALLY ADVANCED CARCINOMA OF EX-TERNALIA IN MAN[J]. China Oncology, 1998, 8(1): 51-53
Authors:Gu Weilie  Liu Shouye  Wang Yanong
Affiliation:Gu Weilie,Liu Shouye,Wang Yanong. Cancer Hospital Shanghai Medical Unniversity,Shanghai 200032
Abstract:PURPOSETo introduce how to reconstruct defects after resection for locally advanced carcinoma of externa-lia in man. METHODS In 11 male patients after radical resection of the primary lesion and clearance of lymph nodes, fascial flap, rectus abdominis myocutaneous flap or combined myocutaneous flap of musculus gluteus max-imus and musculus tensor fasciae latae are used to reconstruct the large defects. Reconstruction with rectus abdominis myocutaneous flap is explained in detail. RESULTS In 11 male patients. 10 were healed by first intention, one was healed by granulation. CONCLUSION The key to successful operation is to select the suitable myocutaneous flap according to the degree of defects. Indication and key points of the operation are explained.
Keywords:Carcinoma of externalia Myocutaneous flap Resection Reconstruction
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