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目的:探讨包皮环切术后阴茎头坏死的临床特性和诊治方法及预后。方法:报告1例包皮环切术后阴茎头坏死患者临床资料,结合文献复习讨论。结果:采用阴茎延长术,切断阴茎浅、深悬韧带并分离部分海绵体脚以延伸阴茎海绵体;同时利用阴茎残端再造阴茎头。术前残留阴茎常态下长度3.5cm,勃起时长度6cm;术后常态下长度6.0cm,勃起时长度10cm;术后均具有感觉和勃起功能。结论:利用阴茎延长术再造的阴茎不但在长度和形态上已接近正常,更重要的是具备良好的感觉与勃起功能,是修复包皮环切术后阴茎头坏死较为理想的方法。
Objective: To investigate the clinical features, diagnosis and treatment methods and prognosis of penile necrosis after circumcision. Methods: The clinical data of 1 case of penile head necrosis after circumcision were reported and reviewed. Results: The use of penile extension, cut off the penile shallow, deep hanging ligament and part of the cavernous feet to separate the cavernous body to extend; at the same time the penis stump reconstruction of the stump. Preoperative residual penile normal length 3.5cm, erection length 6cm; postoperative normal length 6.0cm, erection length 10cm; postoperative sensory and erectile function. Conclusion: The penis regenerated by penis lengthening is close to normal in length and shape. More importantly, it has good sensation and erectile function. It is an ideal method to repair penis necrosis after circumcision.