CAJ | 학술논문

目的：探讨外阴癌行改良腹股沟小切口(5 cm)淋巴结清扫术的安全性和可行性。方法外阴癌行广泛外阴切除术( RV)+双侧腹股沟淋巴结清扫术( OPL)的55例患者中,30例行RV+传统OPL(传统大切口组),25例行RV+改良OPL(改良小切口组)。比较分析两组患者的临床病理资料、围手术期相关资料及术后并发症。结果改良小切口组腹股沟切口Ⅰ期愈合率高于传统大切口组,腹股沟淋巴结清扫出血量、术后住院天数、切口裂开、切口感染、下肢水肿、蜂窝组织炎、淋巴囊肿、慢性淋巴水肿、下肢外展功能受限发生率和总并发症发生率低于传统大切口组,差异均有统计学意义( P<0．05)。结论外阴癌行改良OPL是安全可行的,近期治疗效果满意。
목적：탐토외음암행개량복고구소절구(5 cm)림파결청소술적안전성화가행성。방법외음암행엄범외음절제술( RV)+쌍측복고구림파결청소술( OPL)적55례환자중,30례행RV+전통OPL(전통대절구조),25례행RV+개량OPL(개량소절구조)。비교분석량조환자적림상병리자료、위수술기상관자료급술후병발증。결과개량소절구조복고구절구Ⅰ기유합솔고우전통대절구조,복고구림파결청소출혈량、술후주원천수、절구렬개、절구감염、하지수종、봉와조직염、림파낭종、만성림파수종、하지외전공능수한발생솔화총병발증발생솔저우전통대절구조,차이균유통계학의의( P<0．05)。결론외음암행개량OPL시안전가행적,근기치료효과만의。
Objective To investigate the feasibility and safety of vulvar carcinoma undergoing modified inguinal incision (5cm) lymphadenectomy. Methods Widely radical vulvectomy( RV) and bilateral inguinal lymphadenectomy( OPL) were performed in 55 patients. Among the 55 patients, 25 patients underwent RV and the modified OPL ( modified small incision group) and 30 patients underwent the tradi-tional inguinal lymphadenectomy RV and OPL(conventional large incision group). The clinicopathological factors, operational factors and postoperative complications were compared. Results Compared with the conventional incision group, the incidence of inguinal incision heal-ing was higher than that in the modified small incision group. The blood loss of inguinal lymphadenectomy, the postoperative hospitalization days and incidences of wound breakdown, wound infection, edema of lower extremity, cellulitis, lymphatic cyst, chronic lymphedema, the limited abduction of lower limb and total complications were relatively low in the modified small incision group(P<0. 05). Conclusion Our modified inguinal incision lymphadenectomy can be safely and effectively performed for vulvar carcinoma with favorable early outcomes.