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[阴茎皮肤重建手术的变体与潜力]

[The variants and potentials of reconstructive surgery of the penile skin].

作者信息

Dmitriev D G, Shcheplev P A, Borovikov A M

出版信息

Urol Nefrol (Mosk). 1996 Mar-Apr(2):39-44.

PMID:8677553
Abstract

The authors have operated 24 patients to repair total and subtotal defects of penile integuments due to oleogranuloma. They have performed a total of 13 transplantations of axial island cellolocutaneous inguinal flaps basing on the external pudendal, superficial epigastric or superficial circumflex iliac arteries; 3 transplantations of free axial inguinal grafts; 2 transplantations of free axial grafts from the forearm on the radial artery. Microvascular anastomoses with the recipient zone vessels were formed. 8 two-stage Reich operations were conducted. Postoperative dynamic monitoring (skin thermometry, oxygen polarography, Doppler ultrasound scanning of the vessels) of the graft has found more favourable vascular reactions in the axial flaps vs. scrotal ones. Effective contralateral grafting was performed in a patient with the transplant necrosis on the superficial epigastric artery.

摘要

作者对24例因油肉芽肿导致阴茎皮肤全层和部分缺损的患者进行了手术。他们共进行了13例基于阴部外动脉、腹壁浅动脉或旋髂浅动脉的轴型岛状腹股沟皮瓣移植;3例游离轴型腹股沟皮瓣移植;2例取自前臂桡动脉的游离轴型皮瓣移植。与受区血管进行了微血管吻合。进行了8例两期赖希手术。术后对移植皮瓣进行动态监测(皮肤温度测量、氧极谱分析、血管多普勒超声扫描)发现,轴型皮瓣的血管反应比阴囊皮瓣更有利。对1例腹壁浅动脉移植皮瓣坏死的患者进行了有效的对侧移植。

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