儿童阴茎皮肤移植病例系列
A Case Series of Penile Skin Grafting in Children.
作者信息
Qiu Lin, Zhang Xuan, Liu Yan, Fu Yuexian, Yuan Xingang
机构信息
Department of Burns and Plastic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China.
Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing (CSTC2009CA5002), Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
出版信息
European J Pediatr Surg Rep. 2020 Jan;8(1):e77-e80. doi: 10.1055/s-0040-1716525. Epub 2020 Oct 21.
Pediatric penile skin grafting is rarely performed. We present a case series of four pediatric patients receiving skin grafting due to the loss of penile skin. The four boys were followed up for 1 to 5 years. One full-thickness skin graft and three split-thickness skin grafts (STSGs) survived well with low Vancouver scar scale scores. One boy gradually developed lymphedema of the distal foreskin and underwent a second preputioplasty. He presented with normal erectile function and did not experience any pain. We propose thick STSGs as the most appropriate choice for pediatric penile skin reconstruction. Lymphedema of the foreskin is an important long-term complication of penile skin grafting.
小儿阴茎皮肤移植很少进行。我们报告了一组4例因阴茎皮肤缺失而接受皮肤移植的小儿患者。这4名男孩随访了1至5年。1例全厚皮片移植和3例中厚皮片移植（STSGs）存活良好，温哥华瘢痕量表评分较低。1名男孩逐渐出现远端包皮淋巴水肿，并接受了第二次包皮成形术。他勃起功能正常，未经历任何疼痛。我们建议厚中厚皮片移植是小儿阴茎皮肤重建的最合适选择。包皮淋巴水肿是阴茎皮肤移植的重要长期并发症。
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