王晓芳

[摘要]目的：探讨股薄肌肌皮瓣修复阴道癌切除术后缺损的临床效果。方法：选择2015年1月至2017年1月接诊的需行阴道癌切除手术的4例患者作为研究对象，应用股薄肌肌皮瓣修复阴道癌切除术后缺损部位，采用肌皮瓣肌肉组织进行填充，行创面修复和阴道再造。结果：4例患者获得较好的效果，肌皮瓣全部成活，切口愈合为甲级，再造外阴丰满，阴道清洁，阴道腔可容纳3指，柔韧有弹性。随访1～2年，无阴道挛缩，阴道色泽红润，修复的外阴、阴道外观正常，性生活正常。结论：采用股薄肌肌皮瓣修复阴道癌切除术后缺损部位，不影响患者的其他治疗，且修复后机能较为正常，效果较好，临床价值较高。

[关键词]阴道癌；缺损部位；股薄肌肌皮瓣；修复；效果

[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2017）09-0024-04

Effect of Gracilis Myocutaneous Flap for Repair of Defects after Resection of Vaginal Carcinoma

WANG Xiao-fang

（Department of Emergency Medicine，Xianning Traditional Chinese Medicine Hospital， Xianning 437100，Hubei，China）

Abstract： Objective To investigate the application of gracilis myocutaneous flap to repair the defect site after resection of vaginal carcinoma. Methods 4 cases from January 2015 to January 2017 were surgical resection of vagina cancer patients as the research object， using the gracilis myocutaneous flap to repair the female patients with vaginal cancer after resection of the defect. The patients occurred after resection of vagina cancer tissue defect， can use muscle flap muscle tissue to fill， skin the organization can be wound repair and reconstruction of vagina. Results 4 patients got better results. All the flaps survived， and the incision healed for Grade A. The reconstructed vulva was full and the vagina was clean. The vaginal cavity contained 3 fingers， and it was flexible and elastic. The patients were followed up for 1-2 years without vaginal contracture， rosy color， normal appearance of the vulva and vagina， and normal sexual life. Conclusion The gracilis muscle flap can be used to repair the defect site after the resection of vaginal cancer， without affecting the other treatment of the patients， and the function is normal after repair. The effect is better after repair， and the clinical value is higher.

Key words： vagina cancer； defect site； gracilis myocutaneous flap； repair； effect

股薄肌位于大腿內侧皮下，靠股深动脉分支供应，有研究指出，股薄肌肌皮瓣在会阴区附近，其皮瓣的厚度适中，转移弧度、范围合适，是临床上修复会阴部皮肤软组织缺损的有效方法之一[1]。过去外阴根治切除术产生的组织缺损修复较为困难，肿瘤范围较小的一般选择手术方式修复，而肿瘤范围较大的则选择放化疗进行治疗[2]。虽然进行了放化疗，但是肿瘤依然没有得到有效控制，因此，目前临床常采用股薄肌肌皮瓣修复缺损部位，并进行阴道再造，本次选择于本院行修复治疗患者资料进行分析，报道如下。

1 资料和方法

1.1 一般资料：选择本院2015年1月至2017年1月接诊的需要进行阴道癌切除手术的4例患者作为研究对象，所有患者使用股薄肌肌皮瓣修复阴道癌切除术后的缺损部位。……