CAJ | 학술논문

目的探讨阴茎浅筋膜后移法行阴茎增粗术的临床应用效果.方法按常规保留内板0.3 ～0.8 cm,确定第1条环形切口线,根据阴茎勃起长度确定第2条环形切口线,剥除双环之间的皮肤组织,保留阴茎浅筋膜和阴茎背浅静脉系统,在切口两侧皮肤无张力对合的情况下,将双环间的阴茎浅筋膜向阴茎近端推移并分段固定,以增粗阴茎.结果治疗阴茎细小伴包皮过长或包茎患者60例,随访3 ～12个月,阴茎静息状态与勃起状态时的周径均较术前增加,阴茎头显露于外,包皮外观平滑自然,阴茎功能良好.结论阴茎浅筋膜后移法阴茎增粗术能够充分利用自体组织增粗阴茎,且能同时解决包皮过长或包茎的问题.
목적 탐토음경천근막후이법행음경증조술적림상응용효과.방법 안상규보류내판0.3 ～0.8 cm,학정제1조배형절구선,근거음경발기장도학정제2조배형절구선,박제쌍배지간적피부조직,보류음경천근막화음경배천정맥계통,재절구량측피부무장력대합적정황하,장쌍배간적음경천근막향음경근단추이병분단고정,이증조음경.결과 치료음경세소반포피과장혹포경환자60례,수방3 ～12개월,음경정식상태여발기상태시적주경균교술전증가,음경두현로우외,포피외관평활자연,음경공능량호.결론 음경천근막후이법음경증조술능구충분이용자체조직증조음경,차능동시해결포피과장혹포경적문제.
Objective To investigate the clinical effect of penile augmentation with superficial fascia retrocession.Methods The first annular incision line was designed,reserving the inner plate 0.5 -0.8cm.The second annular incision line was determined,according to the length of penile erection.The skin tissue between the double loops was stripped,reserving the superficial fascia and the superficial dorsal veins.Before the closure of two annual incision with no tension,the superficial fascia tissue was pushed proximally and fixed sectionally to augment penis.Results From Jun 2009 to Jun 2011,60 patients with redundant prepuce or phimosis were treated with this method.During 3 to 12 months follow-up,the postoperative penile perimeter increased significantly.The glans were exposed and the prepuce looked smooth.The function of the penis maintained undamaged.Conclusions The penile augmentation with superficial fascia retrocession can make full use of autologous tissue to augment penis,meanwhile,redundant prepuce can be resected.It is very practical for clinical application.