摘要
目的总结撕脱皮肤反取皮回植重建阴囊治疗阴囊皮肤完全撕脱伤的疗效,探讨该方法修复后对生精功能的影响。方法 2001年6月-2010年6月,对8例阴囊皮肤完全撕脱伤患者行撕脱皮肤反取皮回植修复重建阴囊。年龄22～64岁,平均29岁。致伤原因:机器绞伤4例,家畜攻击致伤3例,交通事故伤1例。伤后至入院时间为1～7 h,平均3.5 h。伴阴茎皮肤撕脱伤5例,会阴处部分撕裂伤3例,睾丸、精索均外露,无明显挫伤;伴大腿皮肤撕脱伤1例。结果术后10 d拆包时观察皮片成活80%～95%,再造阴囊有挛缩迹象、不下垂,经换药后创面均Ⅰ期愈合。术后8例均获随访,随访时间12～24个月,平均16个月。末次随访时,患者阴囊松弛下垂,阴茎勃起正常。精液质量分析示:精液量2～6 mL,平均4.2 mL;精液完全液化,液化时间为15～30 min,平均23 min;精子密度为(12～27)×106/mL,平均16×106/mL;精子活率45%～65%,平均56%。精子活力A级占25%～42%,平均32%。结论撕脱皮肤反取皮回植可较好重建阴囊,修复阴囊皮肤完全撕脱伤,同时对生精功能无明显影响。
Objective To summarize the effect of free skin graft for repairing scrotal avulsion injury,and to investigate the repair impact of the method on spermatogenesis.Methods Between June 2001 and June 2010,8 cases of complete avulsion injury of the scrotal skin were treated with the free skin graft,aged 22 to 64 years（mean,29 years）.The causes of injury included machine twisting in 4 cases,animal attack in 3 cases,and traffic accident in 1 case.The time between injury and hospitalization was 1-7 hours（mean,3.5 hours）.Five cases complicated by avulsion of penile skin,3 by perineal laceration with exposure of testes and spermatic cord,and 1 by avulsion of leg skin.Results After 10 days,80% to 95% grafted skin survived.The reconstructed scrotum had shrinks and the wound healed by first intention after dressing change.Eight patients were followed up 12 to 24 months（mean,16 months）.At last follow-up,the patients had relaxed and droop scrotum,and penile erection was normal.Semen quality analysis showed： semen volume of 2-6 mL（mean,4.2 mL）;complete liquefaction with liquefaction time of 15-30 minutes（mean,23 minutes）;sperm density of（12-27） × 106/mL（mean,16 × 106/mL）;sperm motility of 45%-65%（mean,56%）;and sperm motility（grade A） of 25%-42%（mean,32%）.Conclusion Complete avulsion of the scrotal skin can be repaired by free skin graft,which has no significant effect on spermatogenesis.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2011年第11期1357-1359,共3页
Chinese Journal of Reparative and Reconstructive Surgery
基金
贵州省优秀科技教育人才省长专项基金资助项目(2005-65)~~
关键词
阴囊
完全撕脱伤
生精功能
修复重建
Scrotal complete avulsion injury Spermatogenesis Repair and reconstruction
