- 期刊
利用股薄肌皮瓣做女陰癌術後重建的經驗
The Experience of the Vulva Reconstruction with Gracilis Myocutaneous Flap in Radical Operation of Vulva Cancer
摘要
關於女陰癌的治療，大範圍的切除，可以提高病人的五年存活率，然而這種根除手術後遺留下來傷口的覆蓋是臨床上的一大課題。 馬偕紀念醫院自1983年1月至1991年3月。共有女陰癌患者25人，其中10人接受根除手術後傷口直接縫合，結果百分之百傷口迸裂，其中7人需要做植皮手術，另外有7個病人接受根除手術後，以股薄肌皮瓣來重建女陰，其中有兩位因為部份皮瓣壞死，需要做植皮手術，覆蓋傷口。其他8位病人接受保守治療。 女陰癌的患者接受根除手術後，以股薄肌皮瓣來重建女陰，可以加速病人的復原，並提供給外科醫師對手術方式及切除範圍的更大選擇空間，也給病人更好的術後生活品質。
並列摘要
In the treatment of vulva cancer, extensive en bloc removal of more tissue has enhanced the probabilities of increased five-year survival. This type of radical excision, however, has been complicated by problems associated with closure of such large wounds. We cikkected 25 cases of vulva cancer from January. 1983 to March, 1991. Ten patients received radical operation and primary Closure of the wound. All these patients suffered from would dehiscence and seven patients required skin graft. Seven patients received radical operation and reconstructed with gracilis myocutancous flap. Two of these patients required skin graft due to flap partial loss. Eight patients received palliative treatment. The use of reconstractive surgical techniques accelerates recovery from radical operation of vulva cancer. It also allows the surgeon greater latitude in the type of procedure and the selection of patients for extended surgery. to the patients. the post-operative life quality are much improved.