应用尿道海绵体黏膜组织瓣构建会阴前庭的临床研究  

Clinical Study on Construction of Perineal Vestibule with Corpus Cavernosum Mucosal Flap

作　　者：张连杰 张荣环 赵烨德 唐乙 胡卫敏 周强 陈祥云 ZHANG Lian-jie;ZHANG Rong-huan;ZHAO Ye-de;TANG Yi;HU Wei-min;ZHOU Qiang;CHEN Xiang-yun(Department of Plastic Surgery,Hongkou District of the Changhai Hospital,Naval Medical University,Shanghai 200081,China;Department of Obstetrics and Gynecology,Hongkou District of the Changhai Hospital,Naval Medical University,Shanghai 200081,China)

机构地区：[1]海军军医大学附属长海医院虹口院区整形外科,上海200081 [2]海军军医大学附属长海医院虹口院区妇产科,上海200081

出　　处：《中国美容医学》2021年第7期5-8,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨男跨女性别重置术中构建会阴前庭的手术方法。方法:保留新尿道口上方约3cm的尿道海绵体,长方形展开,上端与再造阴蒂连接,两侧与小阴唇内侧皮肤缝合,形成大小约3cm(长)×1.5cm(宽)的椭圆形会阴前庭外观。结果:82例男跨女性别重置术中应用此方法构建会阴前庭,术后尿道海绵体黏膜组织瓣全部成活,会阴前庭形态满意,其中6例患者术后发生会阴前庭区出血,找到出血点给予重新缝合后无出血。68例随访6个月以上,患者会阴前庭形态自然逼真,感觉良好。结论:应用尿道海绵体黏膜组织瓣构建会阴前庭,外形自然逼真,感觉良好,充分符合美学要求。此方法血运可靠、易掌握,是一种较好的术式选择。Objective To explore a method for perineal vestibuleconstruction in male-to-female genderconfirmation surgery.Methods The corpus cavernosum about 3cm above the new urethral orifice was retained and expanded in a rectangular shape.The upper edge was connected with the reconstructed clitoris,and the two sides are sutured with the labia minora,the constructed perineal vestibule was oval in shape of 3cm(length)×1.5cm(width).Results Perineal vestibule of 82 cases in male-to-female genderconfirmation surgery were constructed by this method,all corpus cavernosum mucosal flap survived well with satisfied result.Six patients had perineal vestibule hemorrhage after operation.No bleeding was found after the bleeding point was re-sutured.68 cases were followed up from more than 6 months,the perineal vestibule hadrealistic appearance and were sensitive.Conclusion The appearance of perineal vestibule accorded with aesthetic requirements.It has been a good choice to construct perineal vestibule with corpus cavernosum mucosal flap.

关 键 词：性别重置术 男跨女 易性症 会阴前庭 尿道海绵体 黏膜组织瓣 

分 类 号：R622[医药卫生—整形外科]