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报告阴茎离断二例,应用显微外科技术再植,一例只吻合背深静脉,一例吻合背动脉、深静脉,前者失败,后者再植成功。结合文献对此类损伤的入院时处理,吻合组织的先后次序,血管、抗凝药物应用进行探讨,认为阴茎再植虽然动脉、静脉显微吻合是成功关键,但术前保护创面避免血管钳夹,术后应用血营活性药物抗凝维持,血管扩张状态对保证阴茎血液供应组织营养是有好处的。
Report penis two cases of disconnection, the application of microsurgical replantation, one case only consistent with dorsal veins, one case of anastomosis of the dorsal artery, deep vein, the former failure, the latter replantation success. Combined with the literature on the treatment of such injuries at admission, the sequence of anastomosis organizations, vascular, anticoagulant drugs to explore the view that the penile replantation arterial and venous microscopic anastomosis is the key to success, but preoperative protection of the wound to avoid vascular clamp , The application of anticoagulant activity of blood-camp active drugs after surgery, vasodilation state to ensure that the blood supply to the penis tissue nutrition is good.