脱细胞真皮基质补片阴茎增粗术后大面积皮肤坏死的修复经验  

Repair experience of skin necrosis after penile thickening with acellular dermal matrix patch

作　　者：宋海臣[1] 吴小蔚[1] 常文川 Song Haichen;Wu Xiaowei;Chang Wenchuan(Department of Plastic Surgery,Renmin Hospital of Wuhan University,Wuhan 430000,China)

机构地区：[1]武汉大学人民医院整形外科,430000

出　　处：《中华泌尿外科杂志》2021年第11期864-866,共3页Chinese Journal of Urology

摘　　要：脱细胞真皮基质(ADM)补片阴茎增粗术后一个较严重的并发症是阴茎背部皮肤大面积坏死,由于阴茎皮肤较薄且具有良好的弹性、柔韧性和延展性,修复手术往往较难达到理想的效果,ADM补片的植入又增加了修复的难度。2014年3月至2019年8月我们收治了13例ADM补片阴茎增粗术后阴茎背部皮肤大面积坏死的患者,经清创及换药后,7例采用阴囊前动脉皮瓣转位修复,6例行全厚皮片移植修复。术后随访6~12个月,患者阴茎功能未受影响,对治疗效果满意。A serious complication of penile girth enhancement with acellular dermal matrix(ADM)patch is large area penile skin necrosis.Since the penile skin has characteristics such as thin,elasticity,pliability,and durability to withstand erection and friction,the repair surgery is often difficult to achieve good results.Furthermore,the implantation of ADM patch increases the difficulty of surgery.From March 2014 to August 2019,a total of 13 patients with skin necrosis after penile girth enhancement with ADM patch were treated in our center.The debridement and change dressing,according to the condition of the necrotic skin of penis,were performed in all patients.7 patients used the repairing method of scrotal skin flap via one side scrotal artery,6 patients used the repairing method of full thickness skin graft.The penile function was not affected with 6 to 12 months′follow-up after surgery and the curative effect was satisfactory.

关 键 词：阴茎 皮肤坏死 脱细胞真皮基质 阴囊前动脉皮瓣 全厚皮片移植 

分 类 号：R699.8[医药卫生—泌尿科学]