转移皮瓣治疗阴部Paget病(7例分析)

目的探讨会阴部Paget病的临床特点与治疗。方法7例会阴部Paget病患者因手术切除病灶范围均较广，无法直接缝合，全部行皮瓣转移术。其中3例下腹壁带蒂皮瓣、2例腹股沟皮瓣、1例阴股沟皮瓣、1例阴囊中隔皮瓣。结果7例均一期手术成功，6例皮瓣成活，1例部分皮瓣坏死，后植皮成功。结论转移皮瓣是治疗会阴部Paget病手术切除病灶创面无法直接缝合的良好整形方案。

Reconstruction of defects in 7 vulvar Paget's diseases with flap transfer

Objective] To review our experience in the treatment of Paget's disease with flap transplantation.Methods] The defects were all repaired by flaps in 7 patients with vulvar Paget's disease:3 cases with low abdominal flap;2 cases with inguinal flap;1 case with pudendal-thigh flap;1 case with scrotum flap.Results] There were 6 cases of flap alive and 1 case in which 10 % or less of the skin paddle loughed and then skin graft was employed.Conclusion] Flap transfer is the more ideal methods for reconstruction of the perineal region defects in Paget'disease patients.