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慢性生殖器淋巴水肿的皮肤移植重建术

Skin graft reconstruction of chronic genital lymphedema.

作者信息

Morey A F, Meng M V, McAninch J W

机构信息

Department of Urology, University of California, School of Medicine, San Francisco 94143-0738, USA.

出版信息

Urology. 1997 Sep;50(3):423-6. doi: 10.1016/S0090-4295(97)00259-8.

DOI:10.1016/S0090-4295(97)00259-8
PMID:9301709
Abstract

OBJECTIVES

We present a simple, reliable method of scrotal and penile reconstruction yielding satisfactory cosmetic and functional results for patients with disabling chronic genital lymphedema.

METHODS

Nine patients were treated with wide excision of the affected genital skin and subsequent coverage of exposed areas with split-thickness skin grafts in a single-stage procedure.

RESULTS

All patients have had excellent cosmetic results without recurrence of genital lymphedema or compromise of sexual function postoperatively.

CONCLUSIONS

Single-stage reconstruction for idiopathic genital lymphedema by radical skin excision and split-thickness skin grafting provides gratifying functional and cosmetic results.

摘要

目的

我们提出一种简单、可靠的阴囊和阴茎重建方法,可为患有致残性慢性生殖器淋巴水肿的患者带来令人满意的美容和功能效果。

方法

9例患者接受了患侧生殖器皮肤广泛切除,随后在一期手术中用中厚皮片覆盖暴露区域。

结果

所有患者术后均获得了极佳的美容效果,生殖器淋巴水肿未复发,性功能也未受影响。

结论

通过根治性皮肤切除和中厚皮片移植对特发性生殖器淋巴水肿进行一期重建,可带来令人满意的功能和美容效果。

相似文献

1
Skin graft reconstruction of chronic genital lymphedema.慢性生殖器淋巴水肿的皮肤移植重建术
Urology. 1997 Sep;50(3):423-6. doi: 10.1016/S0090-4295(97)00259-8.
2
The management of genital lymphoedema.生殖器淋巴水肿的管理
BJU Int. 2008 Aug;102(4):480-4. doi: 10.1111/j.1464-410X.2008.07559.x. Epub 2008 Mar 5.
3
[Lymphedema of the penis and scrotum: surgical treatment and reconstruction].[阴茎和阴囊淋巴水肿:手术治疗与重建]
Acta Med Croatica. 2007 Apr;61(2):211-3.
4
Penile and scrotal Paget's disease: 130 Chinese patients with long-term follow-up.阴茎和阴囊佩吉特病:130例中国患者的长期随访
BJU Int. 2008 Aug;102(4):485-8. doi: 10.1111/j.1464-410X.2008.07575.x. Epub 2008 Mar 11.
5
Scrotal lymphedema praecox: disease and treatment.早发性阴囊淋巴水肿:疾病与治疗
J Natl Med Assoc. 1982 Apr;74(4):387-9.
6
[Giant scrotal lymphedema caused by Milroy's disease].[米尔罗伊病所致巨大阴囊淋巴水肿]
Arch Esp Urol. 2003 Oct;56(8):949-52.
7
Surgical management of chronic genital lymphoedema.慢性生殖器淋巴水肿的外科治疗
BMJ Case Rep. 2018 Jul 5;2018:bcr-2018-225183. doi: 10.1136/bcr-2018-225183.
8
[Lymphedema of the outer male genitalia].[男性外生殖器淋巴水肿]
Z Urol Nephrol. 1967 Oct;60(10):705-11.
9
Surgical management of genitoperineal hidradenitis suppurativa in men.男性生殖器会阴部位化脓性汗腺炎的外科治疗。
Urology. 2014 Jun;83(6):1412-7. doi: 10.1016/j.urology.2014.01.011. Epub 2014 Mar 28.
10
[Free skin grafting to the male genitalia in a case of lymphedema].[男性生殖器淋巴水肿病例的游离皮肤移植术]
Ugeskr Laeger. 1972 Oct 9;134(41):2160-1.

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Subtotal Scrotectomy and Scrotoplasty: An Effective Treatment for Idiopathic Scrotal Calcinosis.阴囊次全切除术和阴囊成形术:治疗特发性阴囊钙化的有效方法。
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A novel 'Batman' scrotectomy technique for the management of scrotal lymphoedema following treatment for penile cancer.一种用于治疗阴茎癌后阴囊淋巴水肿的新型“蝙蝠侠”阴囊切除术技术。
Transl Androl Urol. 2019 Oct;8(5):448-456. doi: 10.21037/tau.2019.09.04.
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Transl Androl Urol. 2017 Aug;6(4):710-721. doi: 10.21037/tau.2017.07.06.
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Management of adult concealed penis using a meshed, split-thickness skin graft.采用网状中厚皮片移植治疗成人隐匿阴茎
Can Urol Assoc J. 2016 Nov-Dec;10(11-12):E407-E411. doi: 10.5489/cuaj.3787. Epub 2016 Nov 10.
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Severe forms of concealed penis without hypospadias: Surgical strategies.重度隐匿阴茎且无尿道下裂:手术策略
Indian J Urol. 2015 Oct-Dec;31(4):344-8. doi: 10.4103/0970-1591.163308.
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Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction.断层皮片移植在男性生殖器重建中的应用
Urology. 2015 Oct;86(4):835-9. doi: 10.1016/j.urology.2015.07.005. Epub 2015 Jul 16.
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Tissue transfer techniques in reconstructive urology.重建泌尿外科中的组织移植技术。
Korean J Urol. 2015 Jul;56(7):478-86. doi: 10.4111/kju.2015.56.7.478. Epub 2015 Jun 30.