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髂腹股沟淋巴清扫术常用于该淋巴引流区黑色素瘤、阻茎癌、肛部癌等病人,但术后发生伤口并发症者甚多。为此,作者对与此手术有关的髂腹股沟区解剖,特别是其筋膜和淋巴分布情况,及术后淋巴道再生等问题进行了复习和深入探讨。关于切口,在1965年以前业已流行的斜切口、S形切口及直切口中.斜切口的并发症特别少。至于如何能保证同时清除股淋巴结,在考虑皮瓣剖解范围时,Daseler等建议应切除一个四边形范围内的浅筋膜和脂肪结缔组织。此四边形的界线起自髂前上棘(a),垂直向下20 cm至(d)折向内侧,越过股前方至股内侧与耻骨结节(c)垂线相交处(e)向上折,经
Ilio-inguinal lymphadenectomy commonly used in the lymphatic drainage area of melanoma, stem cell carcinoma, anal cancer and other patients, but postoperative wound complications occurred. To this end, the author of this operation related to iliovaginal dissection, especially its fascia and lymphatic distribution, and postoperative lymph node regeneration and other issues were reviewed and in-depth discussion. With regard to incisions, there have been prevalent beveled incisions, sigmoidal incisions and straight incisions up to 1965. Inclined incisions have had very few complications. As for how to ensure simultaneous removal of femoral lymph nodes, Daseler et al. Suggest that a quadrilateral, superficial fascia and adipose connective tissue should be excised when considering the extent of flap dissection. This quadrilateral boundary line from the anterior superior iliac spine (a), vertically down 20 cm to (d) folded inside, across the front of the unit to the medial femoral condyle (c) perpendicular to the intersection (e) through