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1 临床资料1994年10月~1997年3月为4例感染性大面积阴茎皮肤缺损患者(其中3例伴有阴囊正中部皮肤缺损,2例为全周径,另2例为半周径缺损),应用单蒂阴囊皮瓣修复,并同期应用股内侧真皮下血管网薄皮瓣修复阴囊供区创面。4例均为成人,年龄20~56岁。术后皮瓣全部成活。随访6个月~2年半,外形满意,皮肤弹性良好,阴茎勃起充分,无不适感,有感觉。2 典型病例及手术方法患者20岁。称因性交时用力过猛致阴茎皮肤损伤感染,坏死脱落,形成阴茎全周及阴囊正中部肉芽创面。先于阴囊右侧设计10cm×6cm 的蒂在上方的阴囊皮瓣,再于右股内侧根部设计10cm×5cm 的蒂在上方的皮瓣(图1)。在
1 clinical data from October 1994 to March 1997 for the 4 cases of large-area infectious penile skin defect patients (including 3 cases with the middle of the scrotal skin defect, 2 cases were all-week-old, the other 2 cases of semi-circumferential defect) , The application of single pedicle scrotum flap repair, and the same period of application of the medial femoral subdoral vascular network thin flap repair scrotum for wounds. 4 cases were adults, aged 20 to 56 years. All flaps survived. Follow-up 6 months to 2 years and a half, shape satisfactory, good skin elasticity, penile erection full, no discomfort, feeling. 2 typical cases and surgical methods of patients 20 years old. Said because of excessive intercourse caused by penile skin injury infection, necrosis, the formation of the penis and scrotum is the middle of granulation wounds. The scrotal flap above the scoliosis was designed before the right side of the scrotum. A 10 cm × 5 cm pedicle flap was designed on the medial side of the right thigh (Figure 1). in