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目的: 探讨下腹轴型皮瓣转移结合阴茎海绵体延长术修复残余阴茎的疗效。 方法: 对我科 1984年 4月~2004年 2月治疗的 52例残余阴茎患者资料进行回顾性分析。随访时间0. 5 ~20年。 结果: 本组术后阴茎常态下延长(5. 6±1. 4)cm;勃起后延长(6. 8±2. 5)cm;周径增加(6. 9±2. 3)cm。术后即刻、3个月,阴茎头感觉恢复率分别为94. 2%、100%;术后 3、6、12个月,皮瓣区域感觉恢复率分别为32. 7%、51. 9%、75%。术后 5年阴茎头及皮瓣两点分辨觉分别为(5. 1±0. 9)、(7. 9±1. 3)mm。术后早期发生皮瓣远端坏死 3例,皮瓣切口裂开 2例,供瓣区移植皮片部分坏死 2例,后期阴茎外形欠佳者 4例,经相应处理均获痊愈。 结论: 采用下腹轴型皮瓣转移结合阴茎海绵体延长术修复残余阴茎,疗效确切、并发症少,适合临床推广应用。
Objective: To investigate the curative effect of transposition of the inferior abdominal axis flap and penis extension to repair residual penis. Methods: The data of 52 patients with residual penile treated in our department from April 1984 to February 2004 were analyzed retrospectively. Follow-up time of 0.5 to 20 years. Results: The postoperative penile normal extended (5. 6 ± 1.4 cm), and prolonged after erection (6.8 ± 2.5 cm). The diameter of the circumference increased (6.9 ± 2.3 cm). 7 months, 3 months, penis head sensory recovery rates were 94.2%, 100%; 3,6,12 months after surgery, skin flap sensory recovery rates were 32.7%, 51.9% , 75%. The five-year postoperative penile head and flap two points were (5.1 ± 0.9), (7.9 ± 1.3) mm. In the early postoperative period, there were 3 cases of distal necrosis of the flap, 2 cases of incision of the skin flap, 2 cases of partial necrosis of skin graft in the flap area and 4 cases of poor penis shape in the late stage. All patients recovered after corresponding treatment. Conclusion: The use of the lower abdominal axis flap transfer and penile cavernous extension of the repair of residual penis, the exact effect, fewer complications, suitable for clinical application.