阴道黏膜瓣在女复男易性病尿道延长术中的应用  

Clinical applications of vaginal mucosal flap for urethral lengthening surgery in female-to-male patients

作　　者：李旭东[1] 赵烨德[1] 周强[1] 张连杰[1] 唐乙[1] 

机构地区：[1]中国人民解放军第411医院烧伤整形科,上海200081

出　　处：《中国美容医学》2015年第9期6-8,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨阴道黏膜瓣行尿道延长术在女复男易性病手术中的应用。方法:对37例女复男易性病患者采用阴道黏膜瓣行尿道延长术。结果:全部患者尿道延长手术均获成功,尿道口由原来的女性尿道口延长至耻骨联合,4例发生阴道黏膜瓣远端与皮肤缝合处黏膜糜烂,二期愈合。2例发生尿瘘,二期清创缝合后痊愈。结论:在女复男易性病患者的治疗中,利用发育较好的阴道黏膜施行尿道延长术,不仅使术后切口张力减小,而且减少术后尿道毛发生长导致毛石症的困扰。Objective To investigate the vaginal mucosal flap for urethral Lengthening surgery in female- to- male patients. Methods There were 37 cases of female- to- male patients received urethral lengthening surgery with vaginal mucosal flap. Results All patients received urethral lengthening surgery were all successful with the original female urethra extended to the pubic symphysis. 4 cases of distal vaginal mucosal flap erosion. 2 cases of urinary fistula occurred,healed after debridement. Conclusions In the treatment of female-to-male patients, urethral lengthening surgery with vaginal mucosal flap not only reduced wound tension,but also reduced postoperative urinary stone disease resulting in hair problems.

关 键 词：易性病 尿道延长术 阴道黏膜瓣 

分 类 号：R713.2[医药卫生—妇产科学]