阴茎腹侧根部V形切口及推进皮瓣治疗隐匿性阴茎的疗效观察  

EFFECTIVENESS OF ADVANCED SKIN FLAP AND V-SHAPED VENTRAL INCISION ALONG THE ROOT OF PENILE SHAFT FOR CONCEALED PENIS

作　　者：林俊山[1] 李笃妙[1] 张建星[1] 吴强[1] 许雅丽[1] 林丽[1] 

机构地区：[1]福建医科大学附属第一医院小儿外科,福州350005

出　　处：《中国修复重建外科杂志》2015年第9期1121-1123,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨阴茎腹侧根部V形切口及推进皮瓣治疗隐匿性阴茎的应用价值及疗效。方法 2007年7月-2015年1月,采用阴茎腹侧根部V形切口及推进皮瓣治疗121例隐匿性阴茎患儿。年龄18个月～13岁,平均7.2岁。结果手术时间60～100 min,平均75 min。术后1例阴茎根部切口裂开,经换药后愈合;其余患儿切口均Ⅰ期愈合。术后患儿均获随访,随访时间3个月～7年,中位时间24个月。患儿阴茎体显露良好,包皮无臃肿;阴茎阴囊角恢复良好,未遗留明显瘢痕,外形与包皮环切术后相似。结论阴茎腹侧根部V形切口及推进皮瓣治疗隐匿性阴茎安全有效,可获得与包皮环切术相似的外观。Objective To investigate effectiveness of advanced skin flap and V-shaped ventral incision along the root of penile shaft for concealed penis in children. Methods Between July 2007 and January 2015, 121 boys with concealed penis were treated with advanced skin flap and V-shaped ventral incision along the root of penile shaft. The age varied from 18 months to 13 years （mean, 7.2 years）. Repair was based on a vertical incision in median raphe, complete degloving of penis and tacking its base to the dermis of the skin. Advanced skin flap and a V-shaped ventral incision along the root of penile shaft were used to cover the penile shaft. Results The operation time ranged from 60 to 100 minutes （mean, 75 minutes）. Disruption of wound occurred in 1 case, and was cured after dressing change; and primary healing of incision was obtained in the others. The follow-up period ranged from 3 months to 7 years （median, 24 months）. All patients achieved good to excellent cosmetic results with a low incidence of complications. The results were satisfactory in exposure of penis and prepuce appearance. No obvious scar was observed. The penis had similar appearance to that after prepuce circumcision. Conclusion A combination of advanced skin flap and V-shaped ventral incision along the root of penile shaft is a simple, safe, and effective procedure for concealed penis with a similar appearance result to the prepuce circumcision.

关 键 词：隐匿性阴茎 推进皮瓣 整形 

分 类 号：R726.9[医药卫生—儿科]