性别重置术中阴蒂再造的临床研究<br />-《中国美容医学》

文章信息/Info

Title:: Clinical Experience of Clitoris Reconstruction in Transsexual Surgery

Keywords:: Key words: clitoris reconstruction; dorsal penile neurovascular; composite tissue flap; transsexual surgery; male-to-femaletranssexual

摘要:: [摘要]目的：探讨男复女性别重置手术中再造阴蒂的新方法。方法：设计以阴茎背神经血管束为蒂的、带部分包皮的“月牙形”
龟头复合组织瓣，对拢缝合形成新阴蒂外观。阴蒂头部大小约1.0cm（长）×0.8cm（宽），位置固定于平耻骨联合下方5～6cm新
尿道口正上方。结果：68例男复女性别重置术中应用此方法再造阴蒂，术后再造阴蒂全部成活，外观逼真、感觉敏锐。59例随访
6个月～3年，在性生活过程中再造阴蒂均可无痛勃起，功能良好。结论：以阴茎背神经血管束为蒂的、带部分包皮的“月牙形”
龟头复合组织瓣再造阴蒂既符合美学外观，又可获得良好感觉及功能。此方法血运可靠、易掌握，是一种值得推广的术式。

Abstract:: Abstract: Objective To investigate a new method for clitoris reconstruction in male-to-female transsexual surgery. Methods
Crescent shaped glans composite tissue flap with partial foreskin on the dorsal penile neurovascular pedicle was designed, the
appearance of the new clitoris was formed by the close suture. The size of the clitoris was about 1.0 cm (long) ×0.8 cm (wide),
the position was fixed under 5-6cm of the symphysis pubis and above the new urethral orifice. Results New clitoris of 68 cases
in male-to-female transsexual surgery were reconstructed by this method, all clitoris survived well with realistic appearance
and were sensitive. 59 cases were followed up from 6 months to 3 years, the clitoris could be erectile painlessly with pleasant
sensation. Conclusion Crescent shaped glans composite tissue flap with partial foreskin on the dorsal penile neurovascular
pedicle can be reconstructed realistic and sensitive clitoris. It has been possible to achieve a result that is very close to the
biological female clitoris.