阴囊皮瓣转移修复阴茎皮肤缺损

目的探讨一种操作简便而有效地修复阴茎皮肤缺损的手术方法.方法自1995年1月以来,应用阴囊皮瓣转移修复阴茎皮肤感染坏死所致皮肤缺损8例.其中6例为阴茎全周皮肤缺损,2例为2/3周皮肤缺损.手术切除创面肉芽组织,显露正常的阴茎海绵体或尿道海绵体筋膜,使阴茎充分伸展,设计、解剖、形成阴囊皮瓣,旋转转移至阴茎皮肤缺损区,边缘缝合固定.对阴囊皮肤缺损较大者,同期应用股内侧局部皮瓣转移修复阴囊皮肤缺损.结果本组8例手术全部成功,术后3～12个月随访,阴茎外形良好,生理功能恢复正常.结论阴囊皮瓣转移是一种较好的修复阴茎皮肤缺损的手术方法,具有操作简便、手术Ⅰ期完成、术后阴茎外形和生理功能恢复均佳的优点,值得推广应用.

Repair of skin defect in penis with scrotal skin flap

Objective To explore a simple and convenient method for the treatment of penis skin defect. Methods Since Jan. 1995, the scrotal skin flaps have been used to repair the defects of the penis skin in 8 patients with penis skin infection. 6 of these cases lost their whole penis skin, and 2 of them lost 2/3 of their penis skin. The granulation tissues in the defective area of penis skin were cut away, and then the normal aponeurosis of corpus cavernosum or spongiosum exposed. The scrotal skin flaps were designed and shaped. The flaps were transferred to cover the defects, and the incisions were closed. Results All the flaps in 8 cases survived completely. The follow up period was 3 to 12 months after operation. All cases obtained satisfactory results to the contour and function of the peni ses. Conclusion This procedure is a much better method for repairing skin defects in the penis. It can be easily operated and completed in one-stage. The postoperative results are satisfactory.