外阴癌两种手术方式的比较

Operative treatment for vulvar cancer by dif-ferent Inethods

对１９５８年７月至１９９０年１２月，在中国医学科学院肿瘤医院住院治疗的８８例外阴癌病例作回顾性分析。８８例均行根治性外阴切除术和双侧腹股沟淋巴结切除术。根据手术方式分为整块切除（２５例）和非整块切除（６３例）。两组五年生存率分别为７６．０％和７９．８％，术后并发症的发生率为７２．０％和７１．４％，而切口愈合时间非整块切除组较整块切除组提早１４．４天。本研究着重探讨了改进手术方式的可行性。同时，本文讨论了晚期患者的综合治疗方法。

retrospective analysis of 88 petients with vulvarcancer treated by radical vulvectomy and groin lym-phadenectomy from July, 1958 to December, 1990 ispresented. 88 cases are divided into two groups based ondifferent operative methtxls: the enbloc group (25cases) and the non-enbloc group (63 cases). No signifi-cant statistic differences are found in the 5-year survivalrates ( 76.0% vs 79.8%) and the complications(erysipelas, lower extremity edema) between the twogroups. The wound healing time is 14. 4 days shorier inthe non-enbloc group than enbloc group. Factors sach asclinical staging, metastasis to the inguinal lymph nodesand histopathological classification are also investigatedfor correlation with the prognosis.