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[用于男女变易性者人工阴茎构建的手术皮瓣评估]

[Evaluation of surgical flaps used for creation of an artificial penis in female-male type transsexuals].

作者信息

Zieliński T

机构信息

Klinika Chirurgii Plastycznej Instytutu Chirurgii AM w Łodzi.

出版信息

Pol Merkur Lekarski. 2001 Jan;10(55):27-30.

PMID:11320547
Abstract

In the years 1983-1997, 252 female to male transsexuals were treated in the Department of Plastic Surgery of University Medical School in Łódź. In 209 patients surgical penis construction was performed. The paper presents operative techniques and results of penis construction with the use of four kinds of flaps: a bipedicled abdominal tube flap, a single pedicled infraumblical flap, a pedicled myocutaneous flap with gracilis muscle and a pedicled lateral groin flap. Overall estimation of early results of penis construction with the use of the four methods applied in the Department showed that we obtained good results in 69.8% of operated transsexuals, satisfactory effects in 24.4% of patients and poor outcome in 5.8% of cases. The best results were achieved with the technique involving a lateral groin flap.

摘要

1983年至1997年间,罗兹大学医学院整形外科收治了252例女性易性癖患者,其中209例行阴茎再造手术。本文介绍了使用四种皮瓣进行阴茎再造的手术技术及结果,这四种皮瓣分别是:双蒂腹直肌皮瓣、单蒂脐下腹直肌皮瓣、带蒂股薄肌肌皮瓣和带蒂腹股沟外侧皮瓣。对该科室应用这四种方法进行阴茎再造的早期结果进行总体评估发现,69.8%的接受手术的易性癖患者取得了良好效果,24.4%的患者效果满意,5.8%的患者效果不佳。采用腹股沟外侧皮瓣技术取得的效果最佳。

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