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阴茎硬结症(佩罗尼氏病)手术治疗中的斑块切除及真皮移植术

Plaque excision and dermal graft in the surgical treatment of plastic induration of the penis (Peyronie's disease).

作者信息

Kondás J, Diószeghy G, Kondér G, Váczi L, Kiss A, Philipp V

机构信息

Department of Urological Surgery, Municipal Péterfy Sándor Street Hospital, Budapest, Hungary.

出版信息

Int Urol Nephrol. 1998;30(3):321-6. doi: 10.1007/BF02550318.

DOI:10.1007/BF02550318
PMID:9696341
Abstract

Excision of the fibrous plaque from the full thickness of the tunica albuginea of the corpora cavernosa of the penis was performed in 16 patients with Peyronie's disease in the course of seven years. The resulting gap was covered with a dermal flap. The dorsal vascular and neural bundles were separated from the tunica albuginea together with Buck's fascia. This method caused only very slight damages in the circulation and innervation of the penis. The patients were satisfied with the straightness of their penis. The method has the following advantages: it may be applied even in case of extensive, cartilaginous, calcified plaques; the hourglass deformation of the penis may be corrected; it does not result in the shortening of the penis; the complete excised plaque may be examined histologically.

摘要

在七年时间里,对16例佩罗尼氏病患者的阴茎海绵体白膜全层进行了纤维斑块切除术。所形成的缺口用皮瓣覆盖。背侧血管和神经束与巴克筋膜一起从白膜分离。该方法仅对阴茎的血液循环和神经支配造成非常轻微的损伤。患者对阴茎的笔直度感到满意。该方法具有以下优点:即使在存在广泛的、软骨样的、钙化斑块的情况下也可应用;可纠正阴茎的沙漏形畸形;不会导致阴茎缩短;完整切除的斑块可进行组织学检查。

相似文献

1
Plaque excision and dermal graft in the surgical treatment of plastic induration of the penis (Peyronie's disease).阴茎硬结症(佩罗尼氏病)手术治疗中的斑块切除及真皮移植术
Int Urol Nephrol. 1998;30(3):321-6. doi: 10.1007/BF02550318.
2
Treatment of Peyronie's disease by incomplete circumferential incision of the tunica albuginea and plaque with bovine pericardium graft.采用白膜和硬结不完全环形切开并植入牛心包补片治疗佩罗尼氏病。
Urology. 2002 Apr;59(4):570-4. doi: 10.1016/s0090-4295(01)01651-x.
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Penile reconstruction with de-epithelized superficial external pudendal artery flap.去上皮化的阴部外浅动脉皮瓣阴茎重建术。
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Penile corporoplasty using tunica albuginea free graft from proximal corpus cavernosum: a new technique for treatment of penile curvature in Peyronie's disease.使用来自阴茎海绵体近端的白膜游离移植物进行阴茎体成形术:一种治疗佩罗尼氏病阴茎弯曲的新技术。
Eur Urol. 2003 Dec;44(6):720-3. doi: 10.1016/s0302-2838(03)00378-6.
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Penile dermal flap for defect reconstruction in Peyronie's disease: operative technique and four years' experience in 17 patients.
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[Skin flap reconstruction of the entire penile circumference. An unusual advanced case of penile induration (Peyronie's disease)].
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Dermal graft repair of Peyronie's disease: survey of 50 patients.佩罗尼氏病的真皮移植修复:50例患者的调查
J Urol. 1979 Jan;121(1):47-50. doi: 10.1016/s0022-5347(17)56657-4.
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Could plaque excision surgery with sis graft induce a new fibrotic reaction in la Peyronie's disease patients?佩罗尼氏病患者进行带补片的斑块切除手术会引发新的纤维化反应吗?
Arch Ital Urol Androl. 2007 Dec;79(4):167-9.
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The penile disassembly technique in the surgical treatment of Peyronie's disease.佩罗尼氏病手术治疗中的阴茎拆解技术
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A new, innovative, lengthening surgical procedure for Peyronie's disease by penile prosthesis implantation with double dorsal-ventral patch graft: the "sliding technique".阴茎假体植入联合双背腹侧补片移植的创新性阴茎延长术治疗 Peyronie 病:“滑动技术”。
J Sex Med. 2012 Sep;9(9):2389-95. doi: 10.1111/j.1743-6109.2012.02675.x. Epub 2012 Mar 16.

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本文引用的文献

1
CONGENITAL CURVATURE OF THE PHALLUS: REPORT OF THREE CASES WITH DESCRIPTION OF CORRECTIVE OPERATION.阴茎先天性弯曲:三例报告及矫正手术描述
J Urol. 1965 Feb;93:230-2. doi: 10.1016/S0022-5347(17)63751-0.
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Penile ossification and acquired penile deviation.阴茎骨化与后天性阴茎弯曲。
Eur Urol. 1995;27(3):252-6. doi: 10.1159/000475172.
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Etiologic factors in Peyronie's disease.佩罗尼氏病的病因
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Peyronie's disease.佩罗尼氏病
Am J Clin Pathol. 1966 Jun;45(6):670-8. doi: 10.1093/ajcp/45.6.670.
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Subclinical Peyronie's disease.亚临床佩罗尼氏病
Am J Clin Pathol. 1969 Oct;52(4):385-90.
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Surgical treatment of Peyronie's disease with a dermal graff.
J Urol. 1974 Jan;111(1):44-9. doi: 10.1016/s0022-5347(17)59886-9.
7
Isolation and characterization of collagen in Peyronie's disease.佩罗尼氏病中胶原蛋白的分离与特性分析
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8
Treatment of morbus Peyronie--how I do it? Twenty years of experience.佩罗尼氏病的治疗——我的治疗方法?二十年经验。
Int Urol Nephrol. 1991;23(6):589-93. doi: 10.1007/BF02549851.