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因感染,阴茎、阴囊皮肤及皮下组织广泛坏死,致阴茎海绵体及双侧睾丸完全外露,实属罕见,其治疗较为困难。近来,我们用带蒂腹膜前脂肪侈植一次覆盖成功一例。现报告如下: 患者男,52岁。因阴茎、阴囊感染,自用桐油外擦致使皮肤及皮下组织完全坏死而大量流脓入院。经抗感染及局部换药一月,感染基本控制,但阴茎海绵体及双侧睾丸完全外露,睾丸渗出严重,阴茎根部与耻骨之间有一潜在死腔通耻骨后间隙。为了早期一次覆盖创面,我们采用了带蒂腹膜前脂肪移植术。在腰麻下,清创后,将下腹正中部及睾丸两侧大腿之皮肤分别切开,行全层皮瓣游离(如图)。在腹壁皮瓣下切开达耻骨后,将该处之腹膜前脂肪由上向下取一条长5×4厘米之带蒂脂肪瓣,由耻骨下引出,均匀地覆盖在阴茎上,其外再
Due to infection, penis, scrotal skin and extensive subcutaneous tissue necrosis, resulting in complete exposure of the penis and bilateral testis, it is rare, the treatment is more difficult. Recently, we used the pedicled peritoneum fat to plant a case of successful coverage. Report is as follows now: Patient male, 52 years old. Due to the penis, scrotum infection, self-use tung oil outside the skin and subcutaneous tissue caused by complete necrosis and a large number of purulent hospitalization. Anti-infection and local dressing in January, the basic infection control, but the penis and bilateral testis completely exposed, severe testicular exudation, there is a potential dead space between the penis and the pubic symphysis pubis after the gap. In order to cover the wound once, we used pedicled peritoneal fat transplantation. In the spinal anesthesia, debridement, the lower abdomen and the testes on both sides of the thigh skin were cut, full-thickness flap free (Figure). In the abdominal wall flap under the pubic symphysis, where the peritoneal fat from the top down to take a 5 × 4 cm pedicle fat flap, led by the pubic symphysis, evenly covered in the penis, and then outside