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应用显微外科技术施行阴茎海绵体血管旁路手术,国内近年已有10余例成功报导。治疗血管源性阳萎的最常用术式是腹壁下动脉——阴茎海绵体吻合术。治疗特发性阴茎异常勃起症最常用术式是大隐静脉——阴茎海绵体分流术。以上术式的手术成功关键在于血管——阴茎海绵体白膜开窗处的吻合技术质量。这种血管与阴茎海绵体端侧吻合技术远较血管与血管端侧吻合术困难。前者是血管腔与人为的白膜开窗洞穴边缘缝合,无法使用血管吻合固定架。在吻合术中想获得满意的等边、等距、外翻缝合常感到十分困难。近年我院用“阴茎海绵体血管旁路腔内支架吻合法”进行腹下动脉——阴茎海绵体
The application of microsurgical techniques of penile corpus cavernosal bypass surgery in China in recent years, more than 10 cases have been successfully reported. The most common procedure for the treatment of vasogenic impotence is subcutaneous abdominal artery-penis cavernous anastomosis. The most commonly used procedure for the treatment of idiopathic penile abnormalities is the great saphenous vein - penis cavernotomy. The key to the success of the above surgical procedures is the quality of the anastomosis of the cavernous-penile corneal fenestration at the fenestration. This endovascular and penis cavernous anastomosis technology is far more difficult to anastomose blood vessels and blood vessels. The former is the vascular cavity and the artificial albuginea fenestration edge of the cave, can not use vascular anastomosis. In the anastomosis to obtain satisfactory equilateral, equidistant, valgus sutures often feel very difficult. In recent years, our hospital with “penile cavernous vascular bypass stent anastomosis” for abdominal artery - penis