传统阴茎延长术与双“Z”改良术式的临床比较  

Comparison of clinical application between traditional penile elongation and double“Z”modified penis surgery

作　　者：崔永言[1] 朱辉[1] 郑海霞[2] 龙云[1] 

机构地区：[1]北京大学深圳医院整形外科,广东深圳518036 [2]北京大学深圳医院体检科,广东深圳518036

出　　处：《中国美容整形外科杂志》2015年第8期482-484,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的：探讨传统阴茎延长术与双Z改良术式的临床应用差异及其优缺点。方法自2012年2月至2014年10月，应用传统阴茎延长术治疗25例患者，应用改良术式治疗10例患者。通过比较切口设计、固定方式、延长效果、阴茎外观、瘢痕生长情况及患者主观感受6个方面，总结两种术式的差异及各自的优缺点。结果两种术式的阴茎延长长度效果良好，无明显的临床差异。其中，改良术式切口瘢痕较小且隐蔽，阴茎外观无破坏；在固定牢靠性方面，改良术式弱于传统术式，回缩风险偏大。而传统术式的切口瘢痕虽较明显，阴茎外观改变较大，但固定较为牢靠。结论传统阴茎延长术与双Z改良术式是目前临床较常用的两种阴茎延长术式，术前可根据患者的不同关注点，选择不同的术式。若改良术式能解决固定的牢靠性问题，将优于传统术式。Objective To explore the differences and advantages＆amp;disadvantages of clinical application of traditional penile elongation and double“Z”modified penis surgery. Methods From February 2012 to Octo-ber 2014, 25 cases were treated by traditional penile elongation and 10 cases were treated by double“Z”modi-fied penis surgery. The differences and advantages＆amp;disadvantages were compared through incision design, fix-ation method, elongation effect, penis appearance, scar growth and subjective feeling. Results Two surgeries had the same good effect on penile lengthening, without significant clinical difference. The incision scar of the double＆quot;Z＆quot;modified penis surgery was small and concealed without destruction of the penis appearance. In the aspect of fixative firmness, the modified surgery was weaker than the traditional surgery, so the retraction risk was bigger. The incision scar of the traditional penile elongation was relatively obvious, the change of penis ap-pearance was relatively bigger, but the fixation was relatively firmer. Conclusion Two surgeries are the com-mon clinical surgeries for penis elongation at present. The different surgery is chosen before operation by differ-ent patients concern. The author thinks the modified surgery will be better than the traditional surgery if it solves the problem of fixative firmness.

关 键 词：阴茎延长术 Z形切口 Z形皮瓣 

分 类 号：R699.8[医药卫生—泌尿科学]