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目的:探讨早期阴茎癌阴茎部分切除术后阴茎头重建、保留性器官功能的最佳方法。方法:2012年1月~2015年6月,采用阴茎部分切除+大腿内侧薄层皮片移植行阴茎头重建术治疗6例早期阴茎癌。随访0.5~3年,平均1.8年。结果:阴茎疲软状态下长度:术前(6.5±1.2)cm,术后(4.5±1.8)cm;勃起后长度:术前(12.8±2.3)cm,术后(9.1±2.1)cm。重建阴茎头感觉恢复迅速,术后3个月100%感觉恢复。术后随访见重建阴茎头皮肤呈淡红色,柔软,1年后接近正常阴茎头皮肤,远期未见皮片萎缩及瘢痕形成。6例术后均能正常勃起,无任何不适,性生活时感觉良好,与术前相似,患者及性伴侣均满意。所有病例未见复发及转移。结论:阴茎部分切除+大腿内侧薄层皮片移植行阴茎头重建治疗早期阴茎癌,具有方法简便、疗效确切及并发症少等优点,是目前早期阴茎癌根治性切除肿瘤,同时又最大限度保留性器官功能的最好方法之一。
Objective: To explore the best method of reconstructing glans penis and preserving organ function after partial penoperation of penis cancer. Methods: From January 2012 to June 2015, 6 cases of early stage penile cancer were treated with penile partial excision and medial thigh thin skin grafting. Follow-up 0.5 to 3 years, an average of 1.8 years. Results: The length of the penis in the weak state was 6.5 ± 1.2 cm before surgery and 4.5 ± 1.8 cm after the operation. The length of the penis after the erection was 12.8 ± 2.3 cm before surgery and 9.1 ± 2.1 cm after the operation. Reconstruction of the glans penis feeling quickly restored, 100% feeling after 3 months of recovery. Postoperative follow-up reconstruction of the glans penis skin was pale red, soft, close to normal 1 year after the penis head and skin, skin atrophy and scar formation in the long term no see. 6 cases were normal erection after surgery, without any discomfort, feeling good sex life, and preoperative similar to patients and sexual partners are satisfied. No recurrence and metastasis in all cases. Conclusion: Partial removal of the penis + thin skin graft in the thigh and reconstruction of the penis by early reconstruction of the penile head has the advantages of simple method, exact curative effect and less complications. It is the best choice for the radical resection of the tumor of the penile carcinoma at the same time One of the best ways for sexual function.