隐匿性阴茎新术式减轻术后包皮水肿的优势分析  

A new procedure of penoplasty for concealed penis reduces postoperative preputial edema

作　　者：殷玮琪[1] 王国耀[1] 吴科荣 YIN Wei-qi;WANG Guo-yao;WU Ke-rong(Center of Urology and Nephrology,Ningbo First Hospital/Ningbo Hospital of Zhejiang University,Ningbo,Zhe-jiang 315000,China)

机构地区：[1]浙江大学宁波医院/宁波市第一医院泌尿肾病中心

出　　处：《中华男科学杂志》2019年第10期901-904,共4页National Journal of Andrology

基　　金：宁波市社会发展基金资助(2017C50072)

摘　　要：目的:探讨环T切口3点固定法改善隐匿性阴茎成形术后包皮水肿的临床效果。方法:回顾性分析2014年6月至2017年6月244例隐匿性阴茎手术患者的临床资料,其中采用改良Devine术式59例,环T切口3点固定法185例,对比两组患者术后的水肿发生情况。结果:环T切口组术后2、4周的包皮水肿发生率均低于改良Devine术组(28.1%vs 33.9%, 11.4%vs 20.3%),但并无显著性差异。环T切口组术后4周中、重度包皮水肿的发生率显著低于改良Devine术组(1.1%vs 6.8%,P<0.05),且无远期包皮水肿残留。结论:环T切口3点固定法隐匿性阴茎成形术有效改善术后包皮水肿,尤其是减少中、重度水肿的发生率,有临床推广价值。Objective: To investigate the advantage of a new procedure of penoplasty by T-shaped incision and three-point fixation(TSI+TPF) in reducing postoperative preputial edema in the treatment of concealed penis. Methods: We retrospectively analyzed 244 cases of concealed penis treated in our center between June 2014 and June 2017, 185 by TSI+TPF penoplasty and the other 59 by modified Devine surgery(MDS). We compared the incidence of postoperative preputial edema between the two groups of patients. Results: The incidence rate of preputial edema was obviously lower in the TSI+TPF penoplasty than in the MDS group at 2(28.1% vs 33.9%) and 4 weeks after surgery(11.4% vs 20.3%), though with no statistically significant difference, and that of moderate to severe edema was significantly lower in the former than in the latter at 4 weeks(1.1% vs 6.8%, P < 0.05). And no long-term residual edema was observed after TSI+TPF penoplasty. Conclusion: Penoplasty by T-shaped incision and three-point fixation can effectively reduce the incidence of postoperative preputial edema, especially that of moderate to severe edema, in the treatment of concealed penis.

关 键 词：隐匿性阴茎 环T切口3点固定法 包皮水肿 

分 类 号：R699.[医药卫生—泌尿科学]