CAJ | 학술논문

目的：探讨传统阴茎延长术与双Z改良术式的临床应用差异及其优缺点。方法自2012年2月至2014年10月，应用传统阴茎延长术治疗25例患者，应用改良术式治疗10例患者。通过比较切口设计、固定方式、延长效果、阴茎外观、瘢痕生长情况及患者主观感受6个方面，总结两种术式的差异及各自的优缺点。结果两种术式的阴茎延长长度效果良好，无明显的临床差异。其中，改良术式切口瘢痕较小且隐蔽，阴茎外观无破坏；在固定牢靠性方面，改良术式弱于传统术式，回缩风险偏大。而传统术式的切口瘢痕虽较明显，阴茎外观改变较大，但固定较为牢靠。结论传统阴茎延长术与双Z改良术式是目前临床较常用的两种阴茎延长术式，术前可根据患者的不同关注点，选择不同的术式。若改良术式能解决固定的牢靠性问题，将优于传统术式。
목적：탐토전통음경연장술여쌍Z개량술식적림상응용차이급기우결점。방법자2012년2월지2014년10월，응용전통음경연장술치료25례환자，응용개량술식치료10례환자。통과비교절구설계、고정방식、연장효과、음경외관、반흔생장정황급환자주관감수6개방면，총결량충술식적차이급각자적우결점。결과량충술식적음경연장장도효과량호，무명현적림상차이。기중，개량술식절구반흔교소차은폐，음경외관무파배；재고정뢰고성방면，개량술식약우전통술식，회축풍험편대。이전통술식적절구반흔수교명현，음경외관개변교대，단고정교위뢰고。결론전통음경연장술여쌍Z개량술식시목전림상교상용적량충음경연장술식，술전가근거환자적불동관주점，선택불동적술식。약개량술식능해결고정적뢰고성문제，장우우전통술식。
Objective To explore the differences and advantages&disadvantages of clinical application of traditional penile elongation and double“Z”modified penis surgery. Methods From February 2012 to Octo-ber 2014, 25 cases were treated by traditional penile elongation and 10 cases were treated by double“Z”modi-fied penis surgery. The differences and advantages&disadvantages were compared through incision design, fix-ation method, elongation effect, penis appearance, scar growth and subjective feeling. Results Two surgeries had the same good effect on penile lengthening, without significant clinical difference. The incision scar of the double"Z"modified penis surgery was small and concealed without destruction of the penis appearance. In the aspect of fixative firmness, the modified surgery was weaker than the traditional surgery, so the retraction risk was bigger. The incision scar of the traditional penile elongation was relatively obvious, the change of penis ap-pearance was relatively bigger, but the fixation was relatively firmer. Conclusion Two surgeries are the com-mon clinical surgeries for penis elongation at present. The different surgery is chosen before operation by differ-ent patients concern. The author thinks the modified surgery will be better than the traditional surgery if it solves the problem of fixative firmness.