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外阴切除术虽是一种治疗方法但能使性功能减弱,特别是在性功能旺盛的妇女,外生殖器的缺损造成心理上的创伤,当做了阴蒂切除术和入口的狭窄造成性感不快和性高潮反射丧失时,会变得更加苦恼。此种破坏性的手术及其并发症能引起严重的抑郁症,最终可致自杀。 Abel和Gosling发现,75%的外阴癌妇女年龄低于50岁,100%的患者年龄在60岁以下。因此,大多数外阴癌患者仍处于性旺盛时期。阴蒂有使性兴奋达到高潮的功能。在Bowen氏病患者,阴蒂直接受累不到10%,但是,由于现时流行的手术方法,阴蒂切除常是必要的。作者报告一项外阴再造的技术,此法可更有效地减轻继发于外阴切除术的入口狭窄,也一定会对患者的心理大有裨益。病人21岁,4个月前因外阴上皮内癌曾行广泛的外阴切除和阴蒂切除术。术后伤口愈合伴有瘢痕
Although a method of treatment of vulvectomy but can make sexual function weakened, especially in women with strong sexual function, external genital defects caused by psychological trauma, as a clitoris and narrow the entrance caused by the sexy unpleasant and orgasm Reflex lost, it will become even more distressed. Such destructive surgery and its complications can cause severe depression and eventually commit suicide. Abel and Gosling found that 75% of vulvar cancer women are under 50 years of age and 100% are under 60 years of age. Therefore, most vulvar cancer patients are still in their sexuality period. Clitoral sexual excitement to climax function. In patients with Bowen’s disease, the clitoris is less than 10% directly affected, however, due to the prevailing surgical procedures, clitoris removal is often necessary. The authors report a technique for genital reassignment that will more effectively relieve the narrowing of the secondary to the episiotomy and will certainly be of great benefit to the patient’s psychology. The patient was 21 years old and had extensive genital excision and clitoris resection for vulvar intraepithelial neoplasia 4 months earlier. Postoperative wound healing with scarring