CAJ | 학술논문

　　目的总结外阴肿瘤扩大切除与皮瓣修复术治疗乳房外Paget病患者围手术期的护理要点。方法给予11例乳房外Paget病患者实施外阴肿瘤扩大切除与皮瓣修复术，同时配合做好围手术期护理工作。结果11例患者手术顺利，术后恢复良好，皮瓣全部成活，平均（4.5±0.7）d后I期愈合出院。术后未出现皮瓣感染、坏死等并发症。结论外阴肿瘤扩大切除与皮瓣修复术应做好患者术前准备、心理护理，术后做好皮瓣的观察，预防并发症，并加强健康宣教，指导患者加强营养及建立良好生活方式，其有利于患者手术顺利进行及促进患者术后恢复。
　　목적총결외음종류확대절제여피판수복술치료유방외Paget병환자위수술기적호리요점。방법급여11례유방외Paget병환자실시외음종류확대절제여피판수복술，동시배합주호위수술기호리공작。결과11례환자수술순리，술후회복량호，피판전부성활，평균（4.5±0.7）d후I기유합출원。술후미출현피판감염、배사등병발증。결론외음종류확대절제여피판수복술응주호환자술전준비、심리호리，술후주호피판적관찰，예방병발증，병가강건강선교，지도환자가강영양급건립량호생활방식，기유리우환자수술순리진행급촉진환자술후회복。
Objective To summarize perioperative points for nursing patients with extramammary Paget’s disease undergoing resection of tumor of vulva expansion and flap repair.Method Eleven patients with extramammary Paget’s disease were managed with resection of tumor of vulva expansion and flap repair,and with perioperative care as well.Results The tumors in all of the patients were removed completely and the flaps survived.All patients were discharged for hospitalization of(4.5±0.7)days.No flap infection or necrosis occurred.Conclusion The measures for nursing the patients with extramammary Paget’s disease undergoing resection of tumor of vulva expansion and flap repair may include preoperative preparation,mental care,postoperative observation of flaps, prevention of complications,health education,instruction on nutrition and formation of proper life style,which may be beneficial for the smooth manipulation of resection as well as for the postoperative rehabilitation.