目的探讨游离前臂皮瓣移植阴茎再造术后,早期运用可调节支撑护具的效果。方法 2015年1月至2017年7月间,行阴茎再造术患者30例,分为试验组(n=15)和对照组(n=15)。试验组使用自主研制的可调节支撑护具对再造阴茎进行角度支撑固定保护,对照组仅使用传统棉垫予以保护。比较两组患者术后阴茎皮瓣存活情况、再造阴茎角度固定的精准度、伤口感染率以及感觉功能重建等情况。结果术后试验组在皮瓣存活、再造阴茎角度固定的精准度、伤口感染率以及感觉功能重建等方面均明显优于对照组(P<0.05)。结论可调节支撑护具对阴茎再造术后早期可进行有效保护,使用效果优于传统棉垫,有利于患者术后早期康复。

Objective To explore the early application of adjustable support protector in penis reconstruction.Methods From January 2015 to July 2017,30 cases received penis reconstruction were selected and divided into the experimental group(n=15)and the control group(n=15).The control group was given the thick cotton pads after operation,and the experimental group was given the adjustable support protector to replace the heavy cotton pad.The survival rate of the penis flap,the accuracy of the fixed angle of the penis and the sensory function improvement were compared between the 2 groups after operation.Results The survival rate of the penis flap,the accuracy of the fixed angle of the penis,the infection rate and the sensory function improvement in the experimental group were significantly better than those in the control group after operation(P<0.05).Conclusion The adjustable brace can effectively protect the skin flap in early stage after penis reconstruction.The effect is better than heavy cotton pad,which is more conducive to early rehabilitation after operation.