阴茎根部背侧生物膜固定在隐匿性阴茎治疗中的应用  

Application of biofilm immobilization on the dorsal penile root in the treatment of concealed penis

作　　者：李春景[1] 刘国庆[1] 王剑锋[1] 张世林[1] 李杰荣[1] LI Chun-fing;LIU Guo-qing;WANG Jian-feng;ZHANG Shi-lin;LI Jie-rong(Department of Surgery,Foshan Women and Children Hospital,Foshan 528000,Guangdong,CHINA)

机构地区：[1]佛山市妇幼保健院外科,广东佛山528000

出　　处：《海南医学》2019年第1期78-80,共3页Hainan Medical Journal

基　　金：广东省佛山市医学科研项目(编号:20170114)

摘　　要：目的探讨阴茎根部背侧生物膜固定在隐匿性阴茎治疗中的临床效果。方法选取佛山市妇幼保健院外科2015年3月至2017年6月收治的117例隐匿性阴茎患儿,根据随机数表法将其分为A组和B组,A组56例患儿在术中将包皮脱套后将生物膜缝合于阴茎根部背侧,阴茎体与耻骨前筋膜不使用丝线缝合固定,术后将阴茎体被动悬吊并固定4 d;B组61例患儿则采用改良Devine术式,将阴茎体用丝线缝合固定于耻骨前筋膜,术后不需悬吊阴茎体。比较两组间平均手术时间、术后阴茎显露长度、包皮水肿发生率及切口感染发生率的差异。结果 A组和B组患儿的平均手术时间[(36.5±5.1) min vs (53.8±6.6) min]及术后2周包皮水肿发生率(10.71%vs 27.87%)比较,A组均明显少于或低于B组,差异均有统计学意义(P<0.05);而A组和B组术后阴茎平均显露长度[(4.3±1.2) cm vs (4.5±1.3) cm]及感染发生率(7.14%vs 4.92%)比较差异均无统计学意义(P>0.05)。结论与常规的丝线缝合固定方法相比,生物膜阴茎根部固定可减少手术时间及术后包皮水肿的发生率,而对阴茎体显露长度及感染的发生则无明显影响。Objective To investigate the clinical effect of biofilm immobilization on dorsal penile root in the treatment of concealed penis. Methods A total of 117 patients with concealed penis admitted to the Department of Surgery, Foshan Women and Children Hospital from March 2015 to June 2017 were randomly divided into Group A and Group B according to the random number table method. In Group A, 56 patients underwent detachment of the foreskin during operation, and the biofilm was sutured to the dorsal penile root;here, the penis body and the pubic fascia were sutured without thread immobilization, and the penis body was passively suspended after surgery and fixed for four days.In Group B, 61 patients underwent modified Devine procedure, and their penis were sewed up to the pubic fascia by thread immobilization;here the penis body was not need to suspend after surgery. The differences of the average operation time, the length of postoperative penile exposure, and the incidence of foreskin edema and incision infection were compared between the two groups. Results Between Group A and Group B, the average operation time(36.5±5.1) min vs(53.8±6.6) min and the incidence of foreskin edema at 2 weeks after operation(10.71% vs 27.87%) were compared,and the differences were statistically significant(P<0.05). While there were no statistically significant differences in the average penile exposure length(4.3±1.2) cm vs(4.5±1.3) cm and the incidence of infection(7.14% vs 4.92%) between the two groups after surgery(P>0.05). Conclusion Compared with the routine thread immobilization, the biofilm immobilization on dorsal penile root can reduce the operation time and the incidence of postoperative foreskin edema, but has no significant influence on the penile exposure length and the occurrence rate of infection.

关 键 词：隐匿性阴茎 生物膜固定 丝线固定 治疗效果 

分 类 号：R697.1[医药卫生—泌尿科学]