阴囊后动脉外侧支血管蒂阴囊皮瓣的临床应用

Clinical applications of the scrotal skin flaps pedicled on lateral branches of the posterior scrotal arteries

目的 提供一种理想的阴茎腹侧创面修复材料。方法 在阴囊皮肤血供解剖学研究基础上 ,对合并阴囊分裂、阴茎、阴囊转位的尿道下裂 ,应用以阴囊后动脉外侧支为血管蒂的阴囊皮瓣修复尿道再造完成后阴茎腹侧遗留创面 9例。结果 9例皮瓣全部成活 ,效果满意。结论 对于阴囊分裂合并阴茎阴囊转位的尿道下裂 ,应用阴囊后动脉外侧支为血管蒂的阴囊皮瓣 ,不但可修复阴茎腹侧创面 ,亦可同期矫正阴囊分裂和阴茎阴囊转位。

Objective To provide ideal materials for resurfacing penile ventral wounds. Methods For hypospadias with scrotal fissure and penile|scrotal transposition,scrotal skin flaps based on lateral branches of posterior scrotal arteries were utilized to resurface penile ventral wounds when urethral reconstruction were finished. Results 9 cases of hypospadias of different types have been treated with the method mentioned above.All flaps survived and good results achieved. Conclusion For hypospadias with scrotal fissure and penile|scrotal transposition,scrotal skin flaps pedicled on lateral branches of posterior scrotal arteries can not only resurface penile ventral wounds,but also correct scrotal fissure and penile|scrotal transposition simultaneously.