頁籤選單縮合
題 名 | Vulvovaginal Reconstruction Following Radical Tumor Resection: Report of 12 Cases=根治性腫瘤切除術後之陰唇及陰道重建:十二案例之報告 |
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作 者 | 賴永隆; 張承仁; | 書刊名 | 長庚醫學 |
卷 期 | 22:2 1999.06[民88.06] |
頁 次 | 頁253-258 |
分類號 | 417.153 |
關鍵詞 | 陰唇及陰道; 骨薄肌皮瓣; 恥部及大腿聯合皮瓣; Vulvovaginal; Garcilis myocutaneous flap; Pudendal-thigh flap; |
語 文 | 英文(English) |
中文摘要 | 背景:缺少陰唇及陰道對婦女病患心理是嚴重的打擊。各種不同對於此處缺損的 重建手術及其優劣點將於本文中探討。 方法:從 1987 年 4 月至 1997 年 4 月,計有 12 例婦科癌症手術後接受陰部重建手術的病人。 其重建手術所利用之皮瓣: 局部大陰唇皮瓣 (1 例 ),骨薄肌皮瓣 (3 例 ), 神經性恥部及大腿聯合皮瓣 (8 例 )。 結果:在平均 32 個月的追�j過程中, 手術關連性後遺症並不多見,除了 1 例接受骨薄肌皮瓣手術及放射線 治療後發生輸尿管 -- 迴腸�硎煄C另一病患於重建手術及放射線治療 90 日後亦曾有會陰部 出血的症狀。其他一例則是在接受兩側大陰唇皮辦重建手術後發生陰道口狹窄。7 例接受 神經性恥部大腿聯合皮瓣的病人均可得到滿意的性生活。結論:神經性恥部大腿聯合皮瓣在 陰唇及陰道的癌症手術後提供了有感覺性皮瓣的重建。至於大範圍陰唇及陰道癌症手術則以骨薄肌皮瓣較適合。 |
英文摘要 | Background:The absence of the vulva and vagina is a distressful problem, especially for the sexual life of a woman. The potential benefit associated with the use of various vaginal reconstructive methods was studied. Methods:Between April 1987, and June 1997, 12 patients undergoing gynecologic carcinoma surgery were treated with simultaneous vulvovaginal reconstruction using local labia majora flaps (1), gracilis myocutaneous flaps (3), and innervated pudendal-thigh flaps(8). Results:The mean follow-up period was 32 months. There were no major surgical complications, with the exception of one patient who had a ureteroileal fistula after bilateral gracilis myocutaneous flap reconstruction and radiotherapy. One patient received pelvic radiation after bilateral gracilis myocutaneous flap reconstruction, and the complication of perineal bleeding occurred 90 days after the vaginal reconstruction. Another patient had introital stenosis of the neovagina after reconstruction using bilateral labia majora flaps. Seven patients had regular and satisfactory sexual lives. These patients were all treated by innervated pudendal-thigh flap reconstruction. Conclusion: The innervated pudendal-thigh flap provides a sensitized flap for reconstruction of the vulva and vagina following vulvovaginal carcinoma surgery. For extended carcinoma with vulvovaginal involvement, the gracilis myocutaneous flap is would be better for reconstruction of a large defect. |
本系統中英文摘要資訊取自各篇刊載內容。