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阴茎癌68例临床分析 |
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吴春华 张勇 闫廷雄
摘 要：目的：寻求阴茎癌有效合理的治疗方法。方法：总结分析了阴茎癌68例，其中鳞状细胞癌58例，乳头状瘤恶变10例。行阴茎部分切除术57例，阴茎全切除并尿道会阴部造口术11例，随后行双侧腹股沟淋巴结清扫术6例。结果：46例获得随访，行阴茎部分切除术者5年和10年以上生存率分别为87.7%和82.2%，行阴茎全切除术者5年和10年生存率分别为85.8%和80.4%，二者比较无显著性差异(P＞0.05)。结论：包茎、包皮过长及不良的卫生习惯是导致阴茎癌的主要因素。阴茎部分切除术是治疗Ⅰ、Ⅱ期阴茎癌十分合理和有效的方法，其生存率与阴茎全切除术无差别。对于有明显转移者，应积极行腹股沟淋巴结清扫术。
关键词：阴茎癌 前哨淋巴结 外科手术
Carcinoma of the penis (Analysis of 68 cases)
WU Chun-hua ZHANG Yong YAN Ting-xiong
（Department of Urology, the Affiliated Hospital, Ningxia Medical College,Yinchuan,750004）
Abstract：Purpose：investigate efficacious and advisable treatment for carcinoma of penis. Methods: materials of 58 patients with squamous cell carcinoma and 10 cases with malignant change of papilloma were reviewed. Results: 57 cases received partial amputation of the penis and perineal urethrastomy, 6 cases received inguinal lymph node dissection. 46 of all patients were followed-up. The 5-year and 10-year survival rate after surgery were 85.78% and 80.39% in the group of patients with partial amputation and in patients with total amputation respectively. No significant differences were demonstrated(P>0.05).Conclusions:The phimosis, the redundant prepuce and bad health habit are the main risk factors for the disease. The effect of the surgical treatment for carcinoma of the penis were good and the survival rate of the patients were higher. It s suggested that the biopsy for inguinallymph node before dissection is necessary. The problem, sentinel lymph node and malignant change of papilloma of the penis were also discussed.
Key words：Carcinoma of the penis Sentinel lymph node Surgery▲
我院自1981年1月～1998年6月共收治阴茎癌患者68例，现报告如下，并就其有关问题予以分析。
1 资料与方法
1.1 临床资料
本组68例，年龄22～73岁，其中41～60岁者48例，占70.6%。汉族67例。病程3个月～4年。包茎63例，包皮过长5例，其中8例发病前3个月～5年曾行包皮环切术。临床表现为阴茎头部肿物62例，久治不愈之溃疡6例；阴茎溃烂、疼痛伴恶臭分泌物54例；腹股沟淋巴结肿大49例。均无排尿困难史。按照Jackson′s分期法，Ⅰ期41例，Ⅱ期18例，Ⅲ期7例，Ⅳ期2例。病理检查证实为[1] [2] [3] 下一页
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