我们在硬膜外麻醉下,采用阴囊前侧皮肤带蒂皮瓣植皮法,修复因使用解热镇痛药物过敏致阴茎背部及两侧皮肤大面积坏死1例,疗效满意,现将方法介绍如下: 术区常规用1:1000新洁尔灭溶液冲洗,擦拭。将阴茎残余皮肤创缘用锐刀修剪成整齐的新创缘。在新创缘皮下稍作游离后减张缝合(附图a)。用软线测量阴茎皮肤缺损面积。取皮区为阴茎根部阴囊前部皮肤,由助手把阴囊拉展,确定切取的皮肤面积后,在左右分别做2点支持线。皮瓣沿皮肤与肉膜之间切离,两侧不切断,呈双侧带蒂的隧道状皮瓣(附图b)。拉起阴囊带蒂皮瓣后,将皮瓣下的阴囊皮肤创面的两侧皮肤切缘对缘间断缝合,以缩小阴囊皮肤创面(附图c)。将阴茎置入阴囊带 We epidural anesthesia, the use of scrotal skin pedicle flap skin graft method, the use of antipyretic analgesics to repair the back of the penis and both sides of the skin large area necrosis in 1 case, the effect is satisfactory, the method described below : Surgery routine 1: 1000 Bromogeramine solution rinse, wipe. Remaining the penis with a sharp edge of the skin trimmed into a neat edge. A slight margin in the new margin after a suture (Figure a). The penis skin defect area was measured with a soft cord. Take the skin area for the penis at the base of the front of the scrotum skin, the scrotum stretched by the assistant to determine the cut skin area, left and right to do 2:00 support line. Flap cut along the skin and between the membrane, not cut off on both sides, was bilateral pedicle tunnel flap (Figure b). After pulling the scrotum pedicle flap, the skin on both sides of the scrotal skin wound under the flap was sutured to the edge to reduce the scrotal skin wound (Figure c). Put the penis into the scrotum