阴茎阴囊皮肤恶性肿瘤根治术后整形修复技术的应用

Reconstruction of extended skin defect after the radical resection procedure for penile scrotum skin cancer

目的探讨男性外生殖器及其相近部位皮肤恶性肿瘤根治术后大范围皮肤缺损的修复及修复后泌尿、性功能恢复情况。方法 1998年2月至2006年8月对17例男性外生殖器部位大面积汗腺癌或 Paget 病患者行标准肿瘤根治术,并同时行双侧腹股沟淋巴结清扫术,组织缺损区域应用整片中厚皮片予以修复。结果 17例恶性肿瘤患者手术切除区域彻底,整片中厚皮片修复结果满意,皮片的成活率在95%以上。形态与功能(包括勃起功能)均达到了理想要求。结论该修复技术简便、易行,符合生理形态与功能需求;有性功能者能保持勃起功能和性交能力。

Objectives To investigate the reconstruction of skin defect after extended resection of malignant skin tumor in or adjacent to the genitals, and to investigate the recovery of the function of urinary system and sexual intercourse after the operation. Methods From February 1998 to August 2006, 17 patients with carcinoma of sweat gland or Paget＇s disease in or adjacent to the genitals were given standard radical resections including groin lymph node dissections. The deformational changes of penis were corrected with the split-thickness skin grafts. Results A large split-thickness skin to cover the wound gave a good result. More than 95% of the skin survived, and the shape and function were perfect. Conclusions It is a simple and easy way to repair the skin defect. And the patients have a normal shape and function of genitals. The erectile function and the ability of sexual intercourse is good.