改良阴囊成形术治疗儿童蹼状阴茎  

A modified scrotoplasty for treating webbed penis in children

作　　者：李圆 朱孝宇 冯东川 龚金超 韩涛 孙光耀 张习伦 Li Yuan;Zhu Xiaoyu;Feng Dongchuan;Gong Jinchao;Han Tao;Sun Guangyao;Zhang Xilun(Department of Urology,the Affiliated Xuzhou Children′s Hospital of Xuzhou Medical University,Xuzhou 221006,Jiangsu Province,China)

机构地区：[1]徐州医科大学附属徐州儿童医院泌尿外科,江苏徐州221006

出　　处：《中华实用儿科临床杂志》2021年第11期844-847,共4页Chinese Journal of Applied Clinical Pediatrics

基　　金：江苏省青年医学人才项目(QNRC2016370)。

摘　　要：目的介绍1种改良的阴囊成形术在儿童蹼状阴茎中的应用。方法采用回顾性研究,对徐州医科大学附属徐州儿童医院泌尿外科2012年6月至2018年4月收治的58例蹼状阴茎患儿进行治疗效果分析。采用包皮环切吻合器联合改良阴囊成形术修复蹼状阴茎并包茎患儿26例作为改良阴囊成形组,另32例蹼状阴茎并包茎患儿行V-Y阴囊成形术作为V-Y阴囊成形组。比较2组患儿蹼状阴茎的疗效。结果V-Y阴囊成形术组与改良阴囊成形术组的手术时间分别为(26.0±2.4)min和(28.0±3.2)min;患儿术后阴茎外露长度增加长度分别为(0.30±0.06)cm和(0.40±0.06)cm;父母满意度评分分别为(3.80±0.47)分和(4.70±0.56)分,2组患儿手术平均时间和术后阴茎外露增加长度及父母满意度评分比较,差异均有统计学意义(t=2.703、6.061、6.652,均P<0.05)。2组患儿术后并发症比较,差异无统计学意义(P>0.05)。结论包皮环切联合改良阴囊成形术治疗儿童蹼状阴茎术后外观良好,家长满意度高,易于临床实施。Objective To introduce the application of a modified scrotoplasty for children with webbed penis.Methods Retrospective study was carried out.The treatment results of 58 children with webbed penis in Department of Urology,the Affiliated Xuzhou Children′s Hospital of Xuzhou Medical University from June 2012 to April 2018 were analyzed.A total of 26 children with webbed penis and phimosis were treated with circumcision combined with modified scrotoplasty as modified scrotoplasty group,and 32 children with webbed penis and phimosis were treated with V-Y scrotoplasty as V-Y scrotoplasty group.The curative effect of webbed penis was compared between the two groups.Results The operation time of V-Y scrotoplasty group and modified scrotoplasty group were(26.0±2.4)min and(28.0±3.2)min;the increased penis length in the horizontal position in the two groups were(0.30±0.06)cm and(0.40±0.06)cm;the score of parents′satisfaction were(3.80±0.47)scores and(4.70±0.56)scores,there were significant differences in the average operation time,the increased penis length in the horizontal position and the score of parents′satisfaction between the two groups(t=2.703,6.061,6.652;all P<0.05).There was no significant difference in postoperative complications between the two groups(P>0.05).Conclusions Circumcision combined with modified scrotoplasty is used to repair webbed penis,which results in a good postoperative appearance,high parent satisfaction and easy clinical implementation.

关 键 词：蹼状阴茎 阴茎阴囊融合 阴囊成形 

分 类 号：R726.9[医药卫生—儿科]