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一名先天性甲状腺功能减退青少年的阴茎脱套伤。

Penile degloving injury in an adolescent with congenital hypothyroid.

作者信息

Kiffin Chauniqua, Porcelli Matthew, Prychyna Oksana, Pazmino Byron, Pust Daniel, Decostanza Joseph

机构信息

Division of Trauma Services, Memorial Regional Hospital, 3501 Johnson Street, Hollywood, FL 33021, USA.

出版信息

Case Rep Med. 2012;2012:464670. doi: 10.1155/2012/464670. Epub 2012 Mar 25.

DOI:10.1155/2012/464670
PMID:22489243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3318216/
Abstract

This case follows a 17-year-old boy with congenital hypothyroidism who sustained penile skin avulsion secondary to a dog bite. Initially, an attempt was made to repair the wound using the avulsed skin flap itself as coverage. The repair was done immediately upon presentation to enhance the chances of adequate flap viability; however, the dorsal portion of the reconstruction necrosed within the following week. Ultimately a full thickness surgical graft (FTSG) repair was performed to ensure the most desirable outcome.

摘要

该病例为一名17岁患有先天性甲状腺功能减退症的男孩，因被狗咬伤导致阴茎皮肤撕脱。最初，尝试使用撕脱的皮瓣本身作为覆盖物来修复伤口。在就诊后立即进行修复，以提高皮瓣存活的几率；然而，重建的背侧部分在接下来的一周内坏死。最终进行了全层手术植皮（FTSG）修复，以确保获得最理想的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/d573b1efae71/CRIM2012-464670.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/11c81616e149/CRIM2012-464670.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/d558cae8d381/CRIM2012-464670.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/1166582019b8/CRIM2012-464670.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/d573b1efae71/CRIM2012-464670.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/11c81616e149/CRIM2012-464670.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/d558cae8d381/CRIM2012-464670.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/1166582019b8/CRIM2012-464670.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd69/3318216/d573b1efae71/CRIM2012-464670.004.jpg

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本文引用的文献

1
Degloving injury to the penis.阴茎脱套伤
Afr J Paediatr Surg. 2010 Jan-Apr;7(1):19-21. doi: 10.4103/0189-6725.59354.
2
Repair of necrosis and defects of penile skin with autologous free skin flap.自体游离皮瓣修复阴茎皮肤坏死及缺损
Asian J Androl. 2006 Nov;8(6):741-4. doi: 10.1111/j.1745-7262.2006.00222.x.
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Penile dog bite in an adolescent.一名青少年阴茎被狗咬伤。
Adv Ther. 2005 Jul-Aug;22(4):363-7. doi: 10.1007/BF02850083.
4
Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss.网状未扩张中厚皮片移植术用于阴茎皮肤缺损的重建。
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Care of the degloved penis and scrotum: a 25-year experience.阴茎和阴囊脱套伤的护理：25年经验总结
Plast Reconstr Surg. 1999 Dec;104(7):2074-8. doi: 10.1097/00006534-199912000-00020.
6
Late results of split-grafted penoscrotal avulsion injuries.阴茎阴囊撕脱伤分块移植的远期结果
J Trauma. 1995 Dec;39(6):1201-3. doi: 10.1097/00005373-199512000-00038.