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<div class=bt><h1>阴茎部分切除�/h1></div>
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<div class=time>08-03-07 17:05:06　　　www.39.net　　　39</div>
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<div class=key>关键è¯ï¼š<a href='/List.aspx?chid=18&Keyword=%e6%89%8b%e6%9c%af&FieldName=tagnamestr' target='_blank'>手术</a></div>
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<div class=geyan><label><span>å¥åº·è°šè¯</span></label></div>
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<p>阴茎部分切除æœ?/p> <img border="0" src="../../Files/Shoushu/200812714432757877801.jpg" > ⑴切å£åŠç»“扎阴茎血ç®? <img border="0" src="../../Files/Shoushu/200812714432762577802.jpg" > ⑵切æ–阴茎海绵体 <img border="0" src="../../Files/Shoushu/200812714432762577802.jpg" > ⑶切æ–å°¿é“åŽå£ç¼åˆé˜´èŒŽæµ·ç»µä½“ <img border="0" src="../../Files/Shoushu/200812714432765677803.jpg" > ⑷纵行ç¼åˆçš®è‚? <img border="0" src="../../Files/Shoushu/200812714432765677803.jpg" > ⑸尿é“å£æˆå½¢ å›?　阴茎部分切除æœ? <p>[适应è¯]</p><p>阴茎癌局é™äºŽé˜´èŒŽå¤´é™„近，å¯è¡Œé˜´èŒŽéƒ¨åˆ†åˆ‡é™¤æœ¯ã€?/p><p>[术å‰å‡†å¤‡]</p><p>å…¨èº«ä½¿ç”¨æŠ—ç”Ÿç´ ï¼Œå±€éƒ¨ä½¿ç”?âˆ?000高猛酸钾溶液浸泡，控制感染ã€?/p><p>[麻醉]</p><p>éžéº»æˆ–硬膜外麻醉ã€?/p><p>[手术æ¥éª¤]</p><p>1.体ä½ã€€å¹³å§ä½ã€?/p><p>2.手术野的准备　消毒者带çèŒæ‰‹å¥—，在下腹ã€è…¹è‚¡æ²Ÿã€å¤§è…¿ä¸Šéƒ¨ã€é˜´èŒŽã€é˜´å›ŠåŠä¼šé˜´ç”¨è‚¥çš‚æ°´åŠæ¶ˆæ¯’ç›æ°´æ¸…æ´—åŽæ¶ˆæ¯’，将阴茎癌部åŠé‚»è¿‘阴茎于放入消毒阴茎套内，在其近端以粗ä¸çº¿æ‰Žç´§ï¼Œç„¶åŽè„±æŽ‰æ‰‹å¥—ï¼Œé“ºæ•·å¸ƒã€‚é˜´èŒŽæ ¹éƒ¨æ‰Žæ¢è¡€å¸¦ã€?/p><p>3.切å£ä¸Žç»“扎阴茎血管　在离肿瘤上缘2cm处环切阴茎皮肤，达阴茎ç‹è†œï¼Œåœ¨çš®ä¸‹å’Œé˜´èŒŽç‹è†œä¹‹é—´åˆ†ç¦»å‡ºé˜´èŒŽèƒŒæµ…é™è„‰ï¼Œåœ¨å…¶è¿‘端结扎并切æ–，å†åˆ‡å¼€é˜´èŒŽç‹è†œã€‚分离阴茎背深é™è„‰ã€é˜´èŒŽèƒŒåŠ¨è„‰åŠç¥žç»ï¼Œåˆ†åˆ«å°†å…¶ç»“扎和切æ–[å›? â‘´]ã€?/p> <p>4.切æ–阴茎海绵体　切æ–阴茎海绵体，但ä¿ç•™ä¸Žå°¿é“相邻的阴茎白膜，以防尿é“åæ»å’Œå¤–å£ç‹çª„[å›? ⑵]。继之å‘远端分离尿é“，在è·é˜´èŒŽæµ·ç»µä½“æ–端1ï½?.5cm处横æ–å°¿é“，然åŽæ°´å¹³ä½åˆ‡å¼€å°¿é“末端，形æˆä¸Šä¸‹ä¸¤ç“£ã€‚阴茎创é¢ç”¨ç”Ÿç†ç›æ°´å’?ï½?mg%氮芥溶液冲洗ã€?/p> <p>5.ç¼åˆé˜´èŒŽæµ·ç»µä½“　ç”?-0å·ä¸çº¿é—´æ–或褥å¼ç¼åˆé˜´èŒŽæµ·ç»µä½“æ–端，ç¼çº¿ç©¿è¿‡ä¸¤ä¾§é˜´èŒŽç™½è†œåŠçºµéš”[å›? ⑶]ã€?/p> <p>6.ç¼åˆçš®è‚¤ã€€æ”¾å¼€æ¢è¡€å¸¦ï¼Œå®Œå–„æ¢è¡€åŽï¼Œå°†çš®è‚¤åˆ›ç¼˜æ¯”值行ç¼åˆ[å›? â‘·]ã€?/p> <p>7.å°¿é“å£æˆå½¢ã€€å°†å°¿é“末端上ã€ä¸‹ä¸¤ç“£çš„粘膜外翻与皮缘ç¼åˆ[å›? ⑸]ã€?/p> <p>8.留置导尿　从尿é“外å£æ’入导尿管至膀胱，并用ç¼çº¿å°†å…¶å›ºå®šã€?/p><p>[术ä¸æ³¨æ„事项]</p><p>1.阴茎部分切除术ä¸ï¼Œå¿…须注æ„选择阴茎切除部ä½ã€‚如切缘接近肿瘤，将有å¤å‘çš„å±é™©ï¼›åˆ‡é™¤è¿‡å¤šåˆ™æ®‹ç«¯è¿‡çŸï¼ŒæŽ’å°¿ä¸ä¾¿ã€?/p><p>2.海绵体æ¢è¡€ä¸å®Œå–„å¯å‘生术åŽå‡ºè¡€ï¼Œå…³é”®åœ¨äºŽå°†ä¸¤ä¾§é˜´èŒŽæµ·ç»µä½“的白膜与纵隔适当间æ–ç¼åˆï¼Œå°¿é“海绵体的出血å¯ç”¨ç”µå‡æ¢è¡€ã€?/p><p>3.å°¿é“末端应ä¿ç•™ä¸€å®šé•¿åº¦ï¼Œéœ²å‡ºé˜´èŒŽæ®‹ç«¯ï¼Œå¦‚过çŸï¼Œå¯å›žç¼©è‡³çš®å†…，形æˆæœ¯åŽå°¿é“ç‹çª„ï¼›åŒæ—¶ï¼Œæœ¯ä¸åº”注æ„ä¿ç•™å°¿é“末端两瓣的血è¿ï¼Œä»¥é˜²åæ»è€Œå½¢æˆå°¿é“ç‹çª„ã€?/p><p>[术åŽå¤„ç†]</p><p>1.ä½¿ç”¨æŠ—ç”Ÿç´ ï¼Œé¢„é˜²å’ŒæŽ§åˆ¶æ„ŸæŸ“ã€?/p><p>2.使用镇é™å‰‚防æ¢é˜´èŒŽå‹ƒèµ·ã€?/p><p>3.术åŽ7日拔除导尿管ã€?/p>
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