肥大阴蒂缩小成形术治疗女假两性畸形

Clinical effect of clitoroplasty with preservation of glans clitoris and dorsal neurovascular pedicle

目的探讨采用以阴蒂背侧血管神经束为蒂的肥大阴蒂成形术治疗女假两性畸形的临床效果。方法对2003年7月至2009年6月收治的8例女假两性畸形，采用以阴蒂背侧血管神经束为蒂的肥大阴蒂缩小成形术及阴唇成形术进行会阴女性化的转变。结果8例患者切口均I期愈合，成形之阴蒂头血运良好，大小、形态、位置及感觉均较满意，外阴呈女性外生殖器形象。结论以阴蒂背侧血管神经束为蒂的肥大阴蒂缩小成形术，既可改善阴蒂及阴唇外观，并可保留阴蒂感觉及勃起功能，形成符合美学和功能要求的新阴蒂，适合各种外阴女性化手术。

Objective To evaluate the clinical effect of clitoroplasty with preservation of the glans clitoris and the dorsal neurovascular pedicle in patients with clitoral hypertrophy. Methods From July 2003 to June 2009, eunnus feminization operations with preservation of the glans clitoris and the dorsal neurovascular pedicle and labioplasty were performed on 8 patients with female pseudohermaphroditism. Results All 8 cases were primary healing. The shaping glans of clitoris was completely viable with satisfactory size, location, contour and touching sensitivity, and the cunnuses presented the appearances of female external genital organs. Conclusions Clitoroplasty with preservation of the glans clitoris and the dorsal neurovascular can improve the appearance of clitoris and labia, preserving the functions of sensation and erection, reconstruting a new clitoris which is aesthetically ap- pealing and functional, and it is suitable for various kinds of cunnus feminization operations.