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目的:探讨再造阴茎的新方法。方法:应用肩胛游离皮瓣移植和银丝棒硅胶阴茎假体置入行一期阴茎再造术。其中3例保留残存阴茎体,待后期形成含有阴茎背神经血管束的岛状龟头瓣移植于再造阴茎体体表合适位置的患者,列为保留残存阴茎体组,其余病例做为对照组。结果:再造阴茎术后6例皮瓣全部成活。经随访6～12个月,再造阴茎形态良好,供区无明显继发畸形。保留残存阴茎体组再造阴茎的感觉和勃起功能较对照组更为满意。结论:该术式是一种全新的再造阴茎的新方法。保留残存阴茎体,后期可移植含有阴茎背神经血管束的岛状龟头瓣,有助于再造阴茎感觉功能的恢复和勃起功能的完成
Objective: To explore a new method of rebuilding the penis. Methods: Shoulder free flap transplantation and silver filament silicone penile prosthesis implantation for a stage of penile reconstruction. Three of them retained the remnant penile body until the later formation of an island-shaped glans penis with penile dorsal nerve vascular bundle transplanted in the appropriate position of the reconstructed penile body surface, as remaining penile body group, the remaining cases as a control group. Results: All the flaps survived after reoperation. After 6 to 12 months of follow-up, reconstruction of the penis was well established and there was no obvious secondary deformity in the donor area. Remaining penile body remnant penile retention and erection function more satisfactory than the control group. Conclusion: This procedure is a new way to rebuild the penis. Retain the remaining penile body, the latter can be transplanted with penis dorsal nerve island bundle glans, contribute to the reconstruction of penile sensory function recovery and erectile function is completed