CAJ | 학술논문

目的对阴茎发育不良症患者,采用阴茎海绵体延伸术和脂肪瓣转移术充分延长短小的阴茎.方法通过对男性会阴部结构的解剖学研究,了解阴茎悬韧带的厚度、阴茎脚剥离长度与稳定性的关系;通过离断阴茎浅、深悬韧带,并分离部分海绵体脚,使原固定于耻骨下支的阴茎海绵体充分分离,以使阴茎更为延伸;用含血运的脂肪瓣填塞耻骨前间隙,保证术后远期阴茎的有效长度.结果 2001至2009年采用上述方法行阴茎延长术205例,术前阴茎常态下平均长度4.26cm,勃起时平均长度8.13 cm,术后阴茎常态下平均长度8.63 cm,勃起时平均长度12.11 cm.结论采用本方法可在不影响阴茎勃起时稳定性的前提下,使阴茎海绵体比以往的阴茎延长术多延伸1～2 cm,使之更加满足患者生理和心理上的需求.
목적 대음경발육불량증환자,채용음경해면체연신술화지방판전이술충분연장단소적음경.방법 통과대남성회음부결구적해부학연구,료해음경현인대적후도、음경각박리장도여은정성적관계;통과리단음경천、심현인대,병분리부분해면체각,사원고정우치골하지적음경해면체충분분리,이사음경경위연신;용함혈운적지방판전새치골전간극,보증술후원기음경적유효장도.결과 2001지2009년채용상술방법행음경연장술205례,술전음경상태하평균장도4.26cm,발기시평균장도8.13 cm,술후음경상태하평균장도8.63 cm,발기시평균장도12.11 cm.결론 채용본방법가재불영향음경발기시은정성적전제하,사음경해면체비이왕적음경연장술다연신1～2 cm,사지경가만족환자생리화심리상적수구.
Objective To investigate the application of penile cavernous bodies elongation combined with fat flap for the treatment of micro-penis. Methods Anatomic study was performed to study the thickness of penile suspension ligaments and the relationship between the penile erection stability and the mobilization of cavernous bodies cms. The suspension ligaments were divided and cavernous bodies crus were partially mobilized, so as to release part of the cavernous bodies from inferior ramus of pubis. Then the penis was elongated sufficiently. Local fat flap was transposed to fill the front space of pubis to make sure the effective elongation of penis. Results 205 cases of micro-penis were treated. The average length of the penis was 4.26 cm in the static state, 8. 13 cm in erectile state before operation. After operation.it increased to 8.63 cm in the static state, 12.11 cm in erectile state. Conclusions The cavernous bodies can be elongated 1-2 cm more with the modified method, while the stability of penile erection is not affected.