阴茎撕脱离断再植1例  

Replantation of amputated penis: a case report

作　　者：文庆信 庞超见 Wen Qingxin;Pang Chaojian(Department of Hand Surgery,North China Petroleum Administration General Hospital,Renqiu 062552,China)

机构地区：[1]华北石油管理局总医院手外科,任丘062552 [2]邯郸市第一医院骨科,邯郸056000

出　　处：《中华整形外科杂志》2024年第12期1296-1298,共3页Chinese Journal of Plastic Surgery

摘　　要：该文报道了1例阴茎撕脱离断后再植成活患者。患者为34岁男性, 因阴茎撕脱离断1 h于2022年4月就诊于华北石油管理局总医院。术中通过阴茎血管吻合、尿道吻合等显微外科技术完成了阴茎再植, 术后成活良好, 虽然有部分皮肤发生坏死, 但通过植皮后成活。术后2个月复诊, 阴茎头感觉部分恢复, 阴茎体皮肤无感觉, 勃起功能部分恢复, 尿流率接近正常, 未发现尿道狭窄症状。术后18个月患者对阴茎功能恢复较为满意, 但勃起后自觉阴茎较术前短小。该病例提示, 手术过程中对神经、动脉、静脉、尿道等组织的精准吻合, 对术后功能恢复至关重要, 术后出现皮肤坏死行植皮术, 可能会导致阴茎勃起长度缩短。This paper reported a case of penis replantation after avulsion.The patient was a 34-year-old male who was admitted to North China Petroleum Administration General Hospital in April 2022 due to penile avulsion and disconnection 1 h.Penile replantation was accomplished by microsurgical techniques,such as penile vascular anastomosis,urethral anastomosis,etc.Postoperative survival was good,although some skin necrosis occurred,which survived the implantation.Two months after the operation,the patient complained that glans sensation was partially restored;the skin of the penile body was insensible;erectile function was partially restored;the urinary flow rate was close to normal;and no urethral stenosis symptoms were found.Eighteen months after the operation,the patient complained that the recovery of penile function was more satisfactory,but he felt the penis was shorter after erection than before the operation.The case suggested the precise anastomosis of nerves,arteries,veins,urethra and other tissues during surgery was crucial for the recovery of postoperative function,and complications of skin necrosis and skin grafting after surgery might result in a shorter penis after erection compared with the preoperative size.

关 键 词：阴茎 阴茎离断 显微外科 阴茎再植 

分 类 号：R69[医药卫生—泌尿科学]