CAJ | 학술논문

目的探讨腹壁下动脉穿支(DIEP)皮瓣阴茎再造手术方法的临床疗效.方法 2003年12月至2006年11月收治体外热疗致阴茎严重烧伤2例、假两性畸形1例、动物咬伤致阴茎大部缺损1例.患者平均年龄31岁.术前残余阴茎常态下长度0.5～1.5 cm.应用DIEP皮瓣及第12肋骨植入行一期阴茎再造术.结果 4例手术均成功,皮瓣完全成活,术后未发生感染、尿道狭窄等并发症.3例术后随访5～32个月,再造阴茎外形逼真,阴茎定型长度7.5～11.0 cm,排尿正常,未发生严重感染及尿道狭窄,皮肤感觉与勃起功能良好.1例近期手术者随访3个月阴茎感觉仍在恢复中.结论该手术方法设计合理,手术一期完成,术后再造阴茎形态功能良好,能满足患者及配偶性生活的要求.供区损伤小,是比较理想的阴茎再造方法.
목적 탐토복벽하동맥천지(DIEP)피판음경재조수술방법적림상료효.방법 2003년12월지2006년11월수치체외열료치음경엄중소상2례、가량성기형1례、동물교상치음경대부결손1례.환자평균년령31세.술전잔여음경상태하장도0.5～1.5 cm.응용DIEP피판급제12륵골식입행일기음경재조술.결과 4례수술균성공,피판완전성활,술후미발생감염、뇨도협착등병발증.3례술후수방5～32개월,재조음경외형핍진,음경정형장도7.5～11.0 cm,배뇨정상,미발생엄중감염급뇨도협착,피부감각여발기공능량호.1례근기수술자수방3개월음경감각잉재회복중.결론 해수술방법설계합리,수술일기완성,술후재조음경형태공능량호,능만족환자급배우성생활적요구.공구손상소,시비교이상적음경재조방법.
Objective To explore a new surgical procedure for phallic reconstruction. Methods Since Dec 2003 to Nov 2006,4 patients with penile loss were reconstructed by transferring a deep in-ferior epigastric perforator(DIEP)flap with implanting the 12th costal cartilage. Results All of the flaDs survived successfully.With the follow-up from 5 months to 3 years,the appearance oi the neope-nis and donor-site scar was satisfactory. No one developed fistula or urethral stenosls, All patients were reported the return of erogenous sensibility of the neopenis leading to orgasm and achmving Pene-tration during sexual intercourse. Conclusions This new procedure may provide an esthetlcaIlY ac-ceDtable and functional neophallus.It might be a new alternative in penile reconstruction.