阴茎延长术的解剖与临床应用  

Anatomy and Clinical Application of Penis Lengthening Surgery

作　　者：马全福[1] 吴学杰[1] 袁延年[1] 李宗来[1] 丁自海[2] 陈文军[1] 

机构地区：[1]武警总医院泌尿外科,北京100039 [2]南方医科大学临床解剖学研究所,广州510515

出　　处：《中国微创外科杂志》2011年第12期1111-1113,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨成人阴茎延长术的可行性和安全性。方法在20具正常男性成年人尸体阴茎延长解剖学观测的基础上,选择46例阴茎短小(2.8±1.2)cm(1.6～3.5 cm)患者,在阴茎根部设计"N"形切口,左、右径3.0～4.5 cm,保留皮瓣足够厚度和良好血运,从皮肤到阴茎浅韧带的厚度3.0～5.0 cm,直视或指感下完全切断阴茎浅韧带,将深韧带切断1/3,切口留置皮条引流。结果尸体解剖学观测,阴茎浅韧带在阴茎根部的厚度为(0.4±0.1)cm(0.2～0.7 cm),宽度(3.1±0.9)cm(2.1～5.0 cm)。阴茎深韧带厚度为(2.5±1.0)cm(2.0～3.1 cm),宽度(0.5±0.1)cm(0.4～0.6 cm)。46例术后测量阴茎自然静态下长度(4.6±1.5)cm(3.5～6.0 cm),较手术前延长(2.5±0.7)cm(1.9～3.5 cm),术后与术前比较差异有统计学意义(t=4.228,P=0.000)。3例术后阴茎水肿用1∶5000呋喃西林液浸泡3个月后消退。42例(91.3%)随访8个月～15年,平均6年2个月,>5年31例,患者自信心增加、自觉性生活满意占85.7%(36/42),另6例(14.3%)感到延长长度不够,仍不满意。结论切断阴茎浅韧带和部分深韧带行阴茎延长术安全有效,术后阴茎皮下顽固水肿与阴茎背浅静脉及淋巴管损伤有密切关系。Objective To explore the feasibility and safety of penis lengthening surgery in adult. Methods Based on our measurements of prolonged penile length and anotomy of penile vein in 20 adult corpora, we performed penis lengthening surgery on 46 men with short penis [（2.8 ±1.2） cm, ranged 1.6-3.5 cm]. A N-shape incision with the left-to-right width 3.0-4.5 cm was made at the end of the penis. We preserved a thick enough skin flap with sufficient blood supply, and the thickness between the skin to the fundiform ligament 3.0 - 5.0 cm. Under direct vision, or by exploring with fingers, we cut the fundiform ligament and 1/3 of the suspensory ligament, and then left a drainage rubber at the incision. Results In the 20 adult corpora, the mean thickness of the fundiform ligament at the proximal end of the penis was （0.4 ±0.1） cm （0.2 -0.7 cm）, and the width was （3.1 ±0.9） cm （2.1 - 5.0 cm）, while those of the suspensory ligament were （2.5 ±1.0） cm （2.0-3. 1 cm） and （0.5 ±0. 1） cm （0.4 -0.6 cm）, respectively. In the 46 patients, the length of the penis at resting was （4.6 ± 1.5）cm （3.5 -6.0 cm） after the operation, which was significantly lengthened by （2.5 ± 0.7 ） cm （ 1.9 - 3.5 era） compared to pre-operation （ t = 4. 228, P = 0. 000）. Three patients developed hydrophallus after the procedure, and then was cured by bathing with 1：5000 furaeilinum for three months. Follow-up was achieved in 42 patients （91.3%） for 8 months to 15 years with a mean of 6 years and 2 months, 31 of then had been followed up for over 5 years; 36 （85.7%） of the patients were satisfied with sexual life and had their confidence improved, the other 6 patients （ 14. 3% ） were still not satisfied with the length of their penis. Conclusions Penis lengthening surgery is safe and effective by reseeting the fundiform ligament and part of the suspensory ligament. Postoperative subcutaneous intractable edema of the penis is related to the injuries to the superfical dorsal vein and lym

关 键 词：阴茎解剖 阴茎浅韧带 阴茎深韧带 阴茎延长术 静脉 淋巴管 

分 类 号：R699.8[医药卫生—泌尿科学]