应用e-PTFE植入再造阴茎远端龟头成形术  

Improving the appearance of the neoglans by implanting carved e-PTFE at the distal part of the reconstructed phallus during phalloplasty

作　　者：刘阳[1] 程开祥[1] 王善良[1] 曹卫刚[1] 李圣利[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海200011

出　　处：《中国美容医学》2008年第3期330-332,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:使用膨体聚四氟乙烯(e-PTFE)植入再造阴茎体远端,使形成龟头以改善再造阴茎外形。方法:使用规格型号为0.5cm1×5cm×6.5cm的e-PTFE块状材料雕刻成一上薄下厚,外光内糙的2/3圈圆锥状结构,包绕再造尿道,一期植入再造阴茎远端。结果:2002年～2007年共完成23例,再造阴茎全部成活,龟头形态良好,无植入物外露发生,2例发生尿瘘,1例因反复伤口感染而取出植入物。结论:阴茎再造时一期植入e-PTFE材料用于形成龟头,是一种安全、有效的阴茎再造龟头成形方法。Objective To improve the appearance of the reconstructed phallus by implanting carved e-PTFE at the distal part of the neophallus. Methods A strip-shaped e-PTFE sized 0.5 cm × 1.5 cm × 6.5 cm was carved and sutured to form a structure like 2/3 circle pyramid , which was implanted at the distal part of the reconstructed phallus with the neourethra being wrapped within it. Results During 2002 to 2007, 23 male patients received phalloplasty by the way as the above, all reconstructed phalli survived completely with satisfactory appearance, implant exposure occurred in none case and urinary fistula occurred in 2 cases, in another 1 case the implant was dissected out at last for recurrent incision infections. Conclusion Implanting the carved e-PTFE to the distal part of the reconstructed phallus at the first stage of phalloplasty is a safe and effective way to make the neoglans with an acceptable appearance.

关 键 词：膨体聚四氟乙烯(e-PTFE) 阴茎再造术 龟头成形术 

分 类 号：R622[医药卫生—整形外科]