论文部分内容阅读
报告7岁小儿阴茎、阴囊根部完全离断伤1例,应用显微外科技术行血管、神经吻合再植术,结果阴茎血运、阴茎皮肤、阴茎动起均良好,排尿通扬,无漏尿及排尿困难,未出现血管危象。结合文献复习对此类损伤的手术方式、离断组织处理、血管药物应用及减少并发症的发生进行了讨论,认为吻合2条阴茎背动脉,重新建立背深静脉可提高愈合质量,防止漏尿及尿道狭窄;应用血管活性药物抗凝,维持血管扩张状态,对保证阴茎血液供应及静脉回流通畅是有好处的。
Report 7-year-old pediatric penis, scrotum root completely broken away from the injury in 1 case, the application of microsurgery vascular prosthesis, nerve anastomosis replantation, the results of penile blood flow, penile skin, the penis movements are good, voiding Tong Yang, And dysuria, there is no vascular crisis. Combined with the literature review of such injuries surgery, fractured tissue treatment, the application of vascular drugs and reduce the incidence of complications were discussed, that consistent with 2 dorsal penile artery, re-establish the dorsal vein can improve the quality of healing, to prevent leakage of urine And urethral stricture; the application of vasoactive drugs anticoagulant, maintaining vasodilatation state, to ensure the penile blood supply and venous return is beneficial.