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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。
OBJECTIVE: To investigate the repair and repair of urinary and sexual function in large area of skin defects of male genitalia and its adjacent parts after radical mastectomy. Methods From February 1998 to August 2006, 17 patients with large area of sweat gland carcinoma or Paget disease were treated by radical nephrectomy in the genital area of male and the bilateral inguinal lymphadenectomy was performed at the same time. Film to be repaired. Results The surgical resection area of 17 patients with malignant tumors was completely resected. The results of repairing the whole medium and thick skin were satisfactory, and the survival rate of the skin was over 95%. Morphology and function (including erectile function) have met the ideal requirements. Conclusion The repair technique is simple, easy to meet the needs of physiological forms and functions; sexual function can maintain erectile function and sexual ability.