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我院于1985年9月始创用“阴茎海绵体血管旁路腔内支架吻合法”的改良显微大隐静脉—阴茎海绵体分流术,治疗特发性阴茎异常勃起症2例,疗效满意,方法如下:取右股上部切口,解剖出大隐静脉10cm,结扎分枝及远端,近端用无损伤血管夹夹住备用。在阴茎根部做半弧形切口,深达白膜,并做皮下隧道将上述大隐静脉经隧道达阴茎根部切口,在6倍手术显微镜下裁剪大隐静脉端口,使直径成2 mm。暂阻断阴茎血流。以小三角针沿阴茎纵轴贯穿白膜且使针尖、针尾外露。稍将其上提后以锋利刀片将深埋针身之白膜切除,直径为2mm,深达血窦。在距开窗1cm 处白膜上切一小口,用肝素利多卡因液冲洗阴茎海绵体内瘀血。将18号硬膜穿刺针经远端切口向近端推进到开窗处,更换插入硬膜外导管,头端从窗口外露0.5cm,拔
In our hospital in September 1985 with the original “penile cavernous vessel bypass stent in the anastomosis” modified micro saphenous vein - cavernous shunt in the treatment of idiopathic penile abnormalities in 2 cases, with satisfactory results , The method is as follows: Take the right upper incision, dissecting the great saphenous vein 10cm, ligation and distal branches, proximal with no injury vascular clamps for use. Make semicircular incision in the root of the penis, deep as the white film, and do subcutaneous tunnel The above-mentioned great saphenous vein through the tunnel to the root of the penis incision, under 6 times the surgical saphenous vein port cut, the diameter of 2 mm. Temporarily blocking the penile blood flow. A small triangular needle along the longitudinal axis of the penis through the white film and the needle tip, needle tail exposed. Slightly raised to a sharp blade will be buried in the albuginea needle deep, diameter of 2mm, deep blood sinus. 1cm away from the window at the white membrane cut a small mouth, with lidocaine heparin flushing penis within the blood stasis. The No. 18 dura puncture needle through the distal incision to the proximal end of the window to open, replace the insertion of epidural catheter, the first end of the window exposed 0.5cm, pull