阴茎阴囊转位的整形外科治疗

摘要

Objective To investigate the plasty method for penoscrotal transposition and its efficacy.Methods The adhesion between penis tunica albuginea and scrotum sheath capsule was separated to return the testis and their sheath capsule to the abdomen side of penis.Also,the scrotum skin was also transferred to the abdomen side of penis.The normal anatomic position of penis and scrotum was returned.Results Between Jan 2004 to Oct 2015,34 cases were treated.5 scrotum fascia skin flaps underwent ischemia at the flap tip with delayed healing.All the other flaps survived with primary healing and good appearance.Conclusions Adhesion between penis tunica albuginea and scrotum sheath capsule should be separated to return the testis and their sheath capsule,as well as scrotum skin to the abdomen side of penis.It' s an optional method for penoscrotal transposition.%目的 探讨阴茎阴囊转位的整形外科治疗方法并评估治疗效果.方法 手术分离阴囊鞘膜囊与阴茎根部的粘连,还纳睾丸及鞘膜囊于阴茎腹侧,同时将其表面的阴囊皮肤组织转移到阴茎腹侧.恢复阴茎、阴囊的正常位置关系.结果 2004年1月至2015年10月,临床治疗34例患者,转移的阴囊筋膜皮瓣,其中5例尖端缺血,伤口延迟愈合,其余伤口一期愈合,阴茎、阴囊外形恢复良好.结论 手术分离阴囊鞘膜囊与阴茎根部白膜的粘连,使睾丸鞘膜囊、睾丸及阴囊皮肤组织共同还回阴茎腹侧,可彻底矫治阴茎、阴囊外形倒位及睾丸游至阴茎根部,是治疗阴茎阴囊转位的良好方法.