CAJ | 학술논문

目的：探讨使用阴囊皮瓣在阴茎延长术中临床疗效。方法：在阴茎根部背侧作“十”字形切口，并上移1．5cm ，切开皮肤，纵行切开阴茎浅筋膜，并在浅浅筋膜下分离切断浅悬韧带和部分深悬韧带，以阴茎深静脉为限。切底结扎止血后，根据延长海绵体的多少，于阴茎根部拟议设计相应大小的阴囊皮瓣覆盖，阴囊切口直接缝合。结果：对112例的延长，平均延长3-5．0cm ，术后都能保持良好的长度，明显改善性生活的质量。结论：阴囊皮瓣具有血运丰富，易成活、富有弹性、不易回缩、不易留有瘢痕。尤其是感觉良好的优点；因此：在阴茎延长中，选择阴囊皮瓣作为供区覆盖创面较为理想。
목적：탐토사용음낭피판재음경연장술중림상료효。방법：재음경근부배측작“십”자형절구，병상이1．5cm ，절개피부，종행절개음경천근막，병재천천근막하분리절단천현인대화부분심현인대，이음경심정맥위한。절저결찰지혈후，근거연장해면체적다소，우음경근부의의설계상응대소적음낭피판복개，음낭절구직접봉합。결과：대112례적연장，평균연장3-5．0cm ，술후도능보지량호적장도，명현개선성생활적질량。결론：음낭피판구유혈운봉부，역성활、부유탄성、불역회축、불역류유반흔。우기시감각량호적우점；인차：재음경연장중，선택음낭피판작위공구복개창면교위이상。
Objectives To investigate the clinical theraping effect of penile -scrotal skin flap in penile elongation .Methods In the back of penile root we take a“+”shape incision ,then cut the skin ,penile superficial fascia ,the suspensory ligament of shallow and part of the deep without damaging the deep penile venous .After complete ligation and hemostasis we design the corresponding size of the penile -scrotal skin flap in the penile root to cover the secondary wound according to the size of elongated cavernousbody and suture the scrotal incision derectly . Results 112 cases elongate 3 -5cm on an average ,and the length could be kept well .Their sexy lives are apparently improved .Conclusions The scrotal skin flap has many advantages such as rich blood supply ,easy survival ,good elasticity ,few retraction ,not apprarent scar and espe-cially good feeling .Therefore ,scrotal skin flap is an ideal way to cover the secondary wound in the operation of penile elongation .