利用腹壁下动脉穿支皮瓣阴茎再造的临床研究  

Penile reconstruction using deep inferior epigastric perforator flap

作　　者：朱选文[1] 方家杰[1] 叶秀娣[2] 虞渝生[2] 钟达川[1] 张峰彬[1] 

机构地区：[1]浙江大学医学院附属第一医院泌尿外科,杭州310003 [2]浙江大学医学院附属第一医院整形外科

出　　处：《中华泌尿外科杂志》2008年第6期396-398,共3页Chinese Journal of Urology

摘　　要：目的探讨腹壁下动脉穿支（DIEP）皮瓣阴茎再造手术方法的临床疗效。方法2003年12月至2006年11月收治体外热疗致阴茎严重烧伤2例、假两性畸形1例、动物咬伤致阴茎大部缺损1例。患者平均年龄31岁。术前残余阴茎常态下长度0．5～1．5cm。应用DIEP皮瓣及第12肋骨植入行一期阴茎再造术。结果4例手术均成功，皮瓣完全成活，术后未发生感染、尿道狭窄等并发症。3例术后随访5～32个月，再造阴茎外形逼真，阴茎定型长度7．5～11．0cm，排尿正常，未发生严重感染及尿道狭窄，皮肤感觉与勃起功能良好。1例近期手术者随访3个月阴茎感觉仍在恢复中。结论该手术方法设计合理，手术一期完成，术后再造阴茎形态功能良好，能满足患者及配偶性生活的要求，供区损伤小，是比较理想的阴茎再造方法。Objective To explore a new surgical procedure for phallic reconstruction. Methods Since Dec 2003 to Nov 2006,4 patients with penile loss were reconstructed by transferring a deep inferior epigastric perforator （DIEP） flap with implanting the 12th costal cartilage. Results All of the flaps survived successfully. With the follow-up from 5 months to 3 years, the appearance of the neopehis and donor-site scar was satisfactory. No one developed fistula or urethral stenosis. All patients were reported the return of erogenous sensibility of the neopenis leading to orgasm and achieving penetration during sexual intercourse. Conclusions This new procedure may provide an esthetically acceptable and functional neophallus. It might be a new alternative in penile reconstruction.

关 键 词：阴茎 外科 整形 腹壁动脉 皮瓣 

分 类 号：R699[医药卫生—泌尿科学]