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目的 探讨修复阴茎大部分缺损的最佳方法。方法 1984年 6月至 2 0 0 3年 8月 ,采用阴茎海绵体延长结合下腹带蒂皮瓣转移术修复 49例阴茎大部分缺损。随访 0 .5～ 19年 ,平均 13年。结果 术后阴茎常态下、勃起时长度及周径均得到明显增加。阴茎头感觉恢复迅速 ,术后 3个月即达 10 0 % ;皮瓣区感觉恢复较缓慢。随访见再造阴茎均保留了术前的勃起功能 ,术后 5年阴茎头及皮瓣区两点分辨觉分别为 (5 .3± 0 .8)mm、(7.7± 1.5 )mm ,远期未见皮瓣萎缩。结论 阴茎海绵体延长结合下腹带蒂皮瓣转移术 ,具有方法简便、疗效确切及并发症少的优点 ,是目前修复阴茎大部分缺损的较好方法。
Objective To explore the best method to repair most of the penis. Methods From June 1984 to August 2003, 49 cases of most of the penile lesions were repaired by extension of the penis corpus with the flap of the lower abdomen. Follow-up 0.5 to 19 years, an average of 13 years. Results Postoperative penile normal, erectile length and circumference were significantly increased. Penis head feeling quickly recovered, 3 months after surgery that up to 10%; flap feel more slowly. Follow-up showed that the penis retained the preoperative erectile function. The two-point resolution of penis head and flap area at 5 years after operation were (5.3 ± 0.8) mm and (7.7 ± 1.5) mm, respectively See flap atrophy. Conclusions The penis cavernous extension combined with lower abdominal flap pedicle flap transfer has the advantages of simple method, exact curative effect and less complications. It is a good method to repair the majority of the penis.