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目的:探讨改良腹股沟淋巴结清扫术在阴茎癌治疗中的作用,为临床治疗阴茎癌提供新的方法。方法:采用改良腹股沟淋巴结清扫术治疗阴茎癌患者26例,并对患者的治疗结果进行临床观察。结果:每侧平均浅组清扫出淋巴结13.2枚(10~19枚),深组清扫出淋巴结2.1枚(1~4枚)。术后早期主要并发症为皮瓣皮缘坏死,2侧轻度,1侧中度,无一例患者发生淋巴瘘及淋巴囊肿。晚期并发症为轻度双下肢水肿,共4例(15.4%)。26例患者平均随访时间为34.2个月(14~86个月),总体无瘤生存率为80.8%,其中N0为100%(17/17),N1为80%(4/5),N2为0(0/4)。结论:改良腹股沟淋巴结清扫术具有手术效果好、并发症少的特点,有助于提高患者的治疗效果。
Objective: To explore the role of modified inguinal lymphadenectomy in the treatment of penile cancer and to provide a new method for clinical treatment of penile cancer. Methods: Twenty-six patients with penile cancer were treated with modified inguinal lymphadenectomy. The clinical outcomes of the patients were also observed. Results: On average, 13.2 (10-19) lymph nodes were dissected on average in each side, and 2.1 (1 ~ 4) lymph nodes were dissected in the deep group. The main postoperative early complications of skin flap necrosis, 2 mild, 1 moderate side, no case of patients with lymphatic fistula and lymphatic cyst. Late complications of mild lower extremity edema, a total of 4 cases (15.4%). The mean follow-up time was 34.2 months (range, 14-86 months) in 26 patients. The overall tumor-free survival rate was 80.8% with N0 100% (17/17), N1 80% (4/5), N2 0 (0/4). Conclusion: Improved inguinal lymphadenectomy has the advantages of good operative effect and less complications, which can help to improve the therapeutic effect of patients.