摘要
陰莖截肢並不多見，自從1977年Tamai和Cohen發表以顯微手術重接後，此項手術已衆所皆知，然而，其中尚有許多原則仍然眾說紛紜。我們發表本院十年來三個病例，兩個自殘者都有精神異常，另一為其太太所傷，顯微手術重接成功，術後過程順利，只有前二位部分皮膚壞死，其一接受植皮手術，另一則經過皮瓣重建，我們強調雙側深動脈，皮下靜脈與背側神經必須盡量縫合以恢復勃起之功能，減少術後皮膚腫脹及促進感覺之恢復，另外，術後陰莖之支撐及鎮定劑之給與可避免神經血管縫合處的拉扯。總之，精細的顯微手術與完善的術後照顧是手術成功及功能恢復的關鍵。
關鍵字
無資料並列摘要
We report three cases of complete penile amputation, two of self- mutilation and one of amputation by his wife, with successful microsurgical replantations. The post-operative courses were smooth except partial skin necrosis in the first two patients. Repair of deep arteries is important to get a better erectile function and survival of penis. The cutaneous veins anastomoses could reduce the postoperative edema and subsequent skin necrosis. All the dorsal nerves should also be repaired as many as possible for a better sensation. Postoperative splinting and sedation can prevent traction of the neurovascular anastomoses. Delicate microsurgical techniques and cautious post-operative care are mandatory to obtain good results of penile replantation.