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目的 探讨外阴癌行广泛外阴切除后缺损修复术式的改良。方法 对3例外阴癌患者利用两侧大腿根部的菱形皮瓣移位修复外阴创面缺损。结果 经菱形移位皮瓣修复外阴癌切除后缺损的术后病人，伤口均Ⅰ期愈合，随访2-3年，疤痕轻，外阴丰满，无复发。结论 对Ⅰ、Ⅱ期的外阴癌患者在常规作广泛外阴切除及淋巴结清扫术的同时采用两侧菱形移位皮瓣修复外阴切除后的缺损是一种较好的手术方法。
Objective To investigate the improvement of the surgical methods for the repair of vulvar cancer after extensive vulvectomy. Methods Three patients with vulvar cancer were treated with rhombic flaps on both thighs to repair the defect of vulva wounds. Results The rhombic displaced flap was used to repair postoperative patients with vulvar cancer after resection of vulva cancer. The wounds healed in the first stage and were followed up for 2-3 years. The scar was light and the vulva was full without relapse. Conclusions It is a good surgical method for patients with vulvar cancer of stage Ⅰ and Ⅱ to perform extensive vulvectomy and lymphadenectomy and to use both sides of diamond-shaped flap to repair the defect after vulvar resection.