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变性手术怎么做?变性手术后护理步骤

发布时间:2015-12-26   问大夫  责任编辑:詹敏怡

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随着整形美容技术的发展,满足了越来越多人的需求,人们对于整形不仅限于五官的整形,四肢的整形,更要求生殖器的整形,相信大家对于整形手术的男变女,或者是女变男都已经不是很陌生了,而且全球男变女的例子也不胜枚举,然而真正的手术过程你了解过吗?下面我们就来介绍变性手术怎么做。

变性手术

变性是一种个体的生物学性别与心理性别发生倒错的心理现象。变性手术可以使异性癖者生物学上的性别与其心理性别协调一致。他们厌恶自己的身体若被恋爱及工作方面的问题所困扰时,心理长期处于应激状态使他们表现出一些负性情绪反应如:情绪不稳定焦虑与恐惧;悲观与孤独等。

心理调整

手术成功与否,这种手术成功只是相对而言,大多数患者以为手术后自己就真正的脱胎换骨了,其实不然,人体的性器官是一个复杂而细腻的东西,任何一个医术高明的华佗也无法达到他100分之一的程度,只是形态上相似而已,所以那些梦想着立马可以变成一个完美的女孩或者男孩的患者应该首先了解这些。其次就是术后心理障碍,该怎样去适应社会是患者长期生存面对问题。

变性手术怎么做

手术步骤

易性术(sex reassignment surgery)是指把原有的外生殖器改变成异性的结构并切除性腺。变性手术其标志手术是阴道再造术、阴茎再造术。同时进行表形重塑,如喉结整形、乳房整形等,以符合自我性别再认定。术后患者原来自觉性别与生物学性别之间的矛盾缓解,心理得到平衡,性功能恢复正常,可以结婚组成家庭,但无生育能力。

男性转变为女性的易性手术,包括精子冷冻、喉结整形术、隆乳术、睾丸切除、尿道口成形、阴唇成形、阴道再造等。阴道再造可用阴茎皮瓣或阴囊皮瓣或阴股沟皮瓣来完成。如条件许可,手术可分组同时进行,男变女的易性手术常可一次完成。

女性转变为男性的易性手术较为复杂,难度大,需多次手术才能完成,疗程长。手术包括:①乳腺切除、乳头整形使乳房男性化。②内生殖器的切除,涉及到卵巢、输卵管、子宫和阴道的切除,其中粘膜切除阴道全闭锁术难度甚高,应由妇产科医师完成。内生殖器切除的同时,以小阴唇瓣行尿道延长尿道口上移术。(子宫和卵巢也可不切除)子宫和卵巢不切除术后可以替妻生育。在美国有先例。③阴茎再造,包括尿道形成、支撑组织植入、茎体成形3部分,其中最难的是尿道形成。

术后护理步骤

⒈保持伤口清洁,防止感染。常规口服抗生素。洗脸时注意不要打湿伤口,如果伤口上有血痂或分泌物,可用无菌盐水或医用酒精擦拭。

⒉手术伤口出血、瘀血或血肿的防治。在术后48小时内用冰袋冷敷,轻度加压48小时后热敷,但压力不宜大。

不过总的来说,变性手术是最后的不得已之举,如果可以通过心理治疗达到目的,绝不做变性手术。

术后特点

通过手术使易性癖者生物学上的性别与其心理性别协调一致。手术后获得女性或者男性生殖器官及相应功能,能进行性生活。

基本费用

变性手术为整形外科之最,这一点也不过分。首先,患者要以虚拟转换的性别角色生活1年以上,包括衣着、举止、生活习惯等等,以便于手术后在最短的时间内实现角色转换,融入新生活。同时,还要服用激素药品。至于手术过程,那就更加复杂了。

作为“男变女”来说,先要切掉睾丸、阴茎、阴囊等器官,再制造阴道、阴唇、阴蒂等女性器官,然后再依次做隆胸、喉结缩小、磨骨、脱毛等手术,有的还需做喉腔手术,逐步形成女变性手术

变性手术性特征。“女变男”还要复杂一些。手术过程与“男变女”相对应,关键是阴茎再造不易成功,稍有不慎就会失败,造成终生遗憾,甚至危及患者生命。

不管是“男变女”还是“女变男”,由于手术程序多,手术时间长,一般手术所要承担的风险在变性手术中陡增许多。再者,手术的费用也是一个需要面对的问题。由于患者的身体状况不一,变性的具体要求不同,手术程序和所用材料也有较大差异。比如,同样是隆胸,一般性材料几千元,而好的材料则达一两万。再比如,有些患者考虑到保密,要求住宾馆式的单人间,费用肯定要增大。就一般情况而言,“女变男”应该在4万元上下,“男变女”则应在3万元左右。不过,这是西安地区正规医院的收费,如果在一些非正规医疗单位或北京、上海等外地大城市做,费用则会成倍翻番,有的要达到十几万元甚至20万元。

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