CAJ | 학술논문

目的：探讨阴道黏膜瓣行尿道延长术在女复男易性病手术中的应用。方法：对37例女复男易性病患者采用阴道黏膜瓣行尿道延长术。结果：全部患者尿道延长手术均获成功，尿道口由原来的女性尿道口延长至耻骨联合，4例发生阴道黏膜瓣远端与皮肤缝合处黏膜糜烂，二期愈合。2例发生尿瘘，二期清创缝合后痊愈。结论：在女复男易性病患者的治疗中，利用发育较好的阴道黏膜施行尿道延长术，不仅使术后切口张力减小，而且减少术后尿道毛发生长导致毛石症的困扰。
목적：탐토음도점막판행뇨도연장술재녀복남역성병수술중적응용。방법：대37례녀복남역성병환자채용음도점막판행뇨도연장술。결과：전부환자뇨도연장수술균획성공，뇨도구유원래적녀성뇨도구연장지치골연합，4례발생음도점막판원단여피부봉합처점막미란，이기유합。2례발생뇨루，이기청창봉합후전유。결론：재녀복남역성병환자적치료중，이용발육교호적음도점막시행뇨도연장술，불부사술후절구장력감소，이차감소술후뇨도모발생장도치모석증적곤우。
Objective To investigate the vaginal mucosal flap for urethral Lengthening surgery in female-to-male patients. Methods There were 37 cases of female-to-male patients received urethral lengthening surgery with vaginal mucosal flap. Results All patients received urethral lengthening surgery were all successful with the original female urethra extended to the pubic symphysis. 4 cases of distal vaginal mucosal flap erosion. 2 cases of urinary fistula occurred,healed after debridement. Conclusions In the treatment of female-to-male patients, urethral lengthening surgery with vaginal mucosal flap not only reduced wound tension,but also reduced postoperative urinary stone disease resulting in hair problems.