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目的 评价阴茎硬结切除后颊粘膜替代治疗Peyronie病的手术效果。 方法 Pey ronie病患者 14例 ,均行保守治疗无效 ,痛性勃起伴弯曲畸形 3个月以上 ,采用手术切除阴茎白膜硬结 ,自体颊粘膜替代治疗。 结果 随访 6～ 2 4个月 ,患者无阴茎缩窄致凹痕感 ,阴茎长度手术前后无变化 ,12例阴茎伸直 ;2例阴茎稍弯曲 (<15°) ;2例出现阴茎局部皮肤麻木 ;2例仍有痛性勃起。手术满意率 86 % (12 / 14)。 结论 颊粘膜在解剖和功能上与白膜相近 ,可作为手术切除阴茎白膜硬结后的理想替代材料。
Objective To evaluate the effect of buccal mucosal replacement on Peyronie’s disease after penile excision. Methods 14 patients with Peyronie disease were treated with conservative treatment ineffective, painful erection with bending deformity for more than 3 months, surgical removal of the penile incision of the penis, autologous buccal mucosa replacement therapy. Results The patients were followed up for 6 to 24 months. No dimples were found in the patients. The length of the penis was unchanged before and after operation. Twelve cases had penis straightened. Two cases had slight penile curvature (<15 °). Two cases had penile skin numbness ; 2 cases still have a painful erection. Surgical satisfaction rate was 86% (12/14). Conclusions The buccal mucosa is similar in anatomy and function to the white membrane, and can be used as an ideal surrogate material for the surgical removal of penile capillaries.