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目的:探讨保留阴茎头手术治疗浅表性阴茎癌的安全性和可行性。方法:分析我院2003年1月至2010年3月间保留阴茎头手术治疗的21例浅表性阴茎癌患者的临床资料。结果:21例患者行保留阴茎头手术,年龄36～57岁,平均年龄46岁,阴茎癌病灶范围侵犯到阴茎头、冠状沟和阴茎体的皮肤组织。经临床分期分级,21例患者中,TaG1期6例、TaG2期5例、TisG1期2例、TisG2期4例、T1G1期3例、T1G2期1例。术后1个月均开始性生活,性功能和性满意度良好。21例随访2～7年,平均随访5年,2例患者分别于术后6个月和9个月出现原位肿瘤复发,经再次保留阴茎头手术治疗后,随访5年未再复发。结论:保留阴茎头的阴茎癌手术是治疗浅表性阴茎癌的有效方法之一。对合适的患者,不仅疗效安全,同时可最大限度保留阴茎的外观并使患者获得满意的性生活。
Objective: To investigate the safety and feasibility of preserving penile head surgery in the treatment of superficial penile cancer. Methods: The clinical data of 21 patients with superficial penile cancer who underwent penis head surgery in our hospital from January 2003 to March 2010 were analyzed. RESULTS: Twenty-one patients underwent penis surgery, aged from 36 to 57 years old with an average age of 46 years. The extent of penile cancer invaded the skin of the penis head, coronary sulcus and penis. Of the 21 patients, 6 were TaG1, 5 were TaG2, 2 were TisG1, 4 were TisG2, 3 were T1G1, and 1 was T1G2. Sexual function and sexual satisfaction were good at 1 month after surgery. Twenty-one patients were followed up for 2 to 7 years with an average follow-up of 5 years. Two patients had recurrence of tumor in situ at 6 months and 9 months respectively. After recurrence of glans penis surgery, no recurrence occurred after 5 years of follow-up. Conclusion: Penile head cancer surgery is one of the effective ways to treat superficial penile cancer. For the right patients, not only the efficacy of safety, while maximizing the appearance of the penis and patients to obtain a satisfactory sex life.