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目的探讨阴茎硬结切除后应用包皮内板修补阴茎白膜缺损的可行性。方法观察9例Peyronie病患者采用手术切除硬结后应用包皮内板修补阴茎白膜缺损的效果。结果随访6～12个月,9例病人手术后恢复良好,局部硬结消失,无痛性勃起。8例勃起时阴茎可完全伸直;1例仅有<15°弯曲,性生活正常。结论利用包皮内板修补阴茎硬结切除后的阴茎白膜缺损是可行的。包皮内板材料丰富,取材方便,其主要组织结构与阴茎白膜近似,均为致密胶原纤维及弹力纤维,组织相容性好,不会发生渗漏,且有一定的韧性及弹力,可适应于阴茎勃起时的张力。
Objective To investigate the feasibility of repairing the white matter defect of the penis after the penile induration by resection of the foreskin. Methods Nine cases of Peyronie disease were treated by surgical excision of the sclerosis and the application of foreskin in the repair of penile white albuginea defect effect. Results The patients were followed up for 6 to 12 months. Nine patients recovered well after operation, local induration disappeared and painless erection occurred. 8 cases of erect penis can be completely straight; 1 case only <15 ° bend, normal sex life. Conclusion The use of the foreskin in the repair of penile tuberculous penis after tunica albuginea defect is feasible. The material of the foreskin is rich in material and easy to draw. The main structure of the foreskin is similar to that of the penile white membrane. Both of them are dense collagen fibers and elastic fibers with good histocompatibility, no leakage, some toughness and elasticity, Tension at penile erection.