改良Devine术联合背侧包皮皮瓣翻转转移术治疗重度隐匿性阴茎的临床效果  

Clinical effect of modified Devine surgery combined with dorsal foreskin skin flap turnover transvers treating severe concealed penis

作　　者：罗逢桢 刘立新 LUO Feng-zhen;LIU Li-xin(Department of Urology,People′s Hospital in Yudu County of Ganzhou City,Jiangxi Province,Yudu342300,China)

机构地区：[1]江西省赣州市于都县人民医院泌尿外科,江西于都342300

出　　处：《中国当代医药》2020年第19期95-97,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2018ZSF569)。

摘　　要：目的探讨改良Devine术联合背侧包皮皮瓣翻转转移术治疗重度隐匿性阴茎的临床效果。方法选取2018年9月~2019年7月我院收治的64例重度隐匿性阴茎患儿作为研究对象,运用随机数字表法将其分为对照组与试验组,每组各32例。对照组患儿予以背侧包皮皮瓣翻转转移术治疗方式,试验组患儿予以改良Devine术+背侧包皮皮瓣翻转转移术治疗,观察患儿手术时间、术后3个月阴茎长度、皮瓣成活情况、阴茎外观满意度等情况。结果经过统计可知,试验组患儿的手术时间长于对照组,术后3个月的阴茎长度长于对照组,皮瓣成活率高于对照组,总满意度高于对照组,差异有统计学意义(P<0.05)。结论改良Devine术联合背侧包皮皮瓣翻转转移术治疗重度隐匿性阴茎具有显著效果,不仅能够延长阴茎长度,提升皮瓣成活率,同时能够使患儿获得良好的阴茎外观满意度。Objective To explore the clinical effect of modified Devine surgery combined with dorsal foreskin skin flap turnover transvers treating severe concealed penis.Methods A total of 64 cases of severe concealed penis children admitted to our hospital from September 2018 to July 2019 were selected as the research objects.They were divided into control group and test group by random number table method,with 32 cases in each group.In the control group,only dorsal foreskin skin flap turnover transvers was used.In the test group,modified Devine surgery+dorsal foreskin skin flap turnover transvers was provided.The surgery time,penis length 3 months after surgery,flap survival,and penis appearance satisfaction were observed.Results According to statistics,the surgery time of the test group was longer than that of the control group,the penis length 3 months after the surgery was longer than that of the control group,and the total satisfaction was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion Modified Devine surgery combined with dorsal foreskin skin flap turnover transvers has a remarkable effect on treating severe concealed penis.It can not only extend the length of the penis and increase the survival rate of the flap,but also can obtain good penis appearance satisfaction from children.

关 键 词：改良DEVINE术 背侧包皮皮瓣翻转转移术 重度隐匿性阴茎 阴茎长度 阴茎外观 

分 类 号：R726.9[医药卫生—儿科]