渐进性皮瓣转移技术联合改良Devine术治疗小儿隐匿性阴茎的效果评价  

Evaluation on the effect of progressive pedicled skin flap transfer combined with modified devine surgery in the treatment of concealed penis in children

作　　者：张伟同 冯勋强[1] 刘翠苹[1] 陈洁 冯再勇 马洪 ZHANG Weitong;FENG Xunqiang;LIU Cuiping(Department of Pediatric Surgery,Heze Municipal Hospital of Shandong Province,Shandong,Heze 274000,China)

机构地区：[1]山东省菏泽市立医院小儿外科,274000 [2]遵义医科大学附属医院小儿外科

出　　处：《临床外科杂志》2022年第4期376-378,共3页Journal of Clinical Surgery

摘　　要：目的评价渐进性皮瓣转移技术联合改良Devine术治疗小儿隐匿阴茎临床效果。方法2020年7月~2021年7月收治的隐匿型阴茎患儿80例,根据手术方法分为两组,实验组44例,采用渐进性皮瓣转移技术联合改良Devine术;对照组36例,采用改良Devine术。记录两组手术时间、术中出血量、阴茎包皮水肿时间、阴茎延长长度、皮瓣感染坏死率及手术满意度。结果两组手术均获得成功,实验组患儿阴茎延长长度、包皮水肿时间及家属手术满意度分别为(2.67±0.29)cm、(55.09±5.52)天和95.5%,对照组分别为(2.12±0.36)cm,(70.22±7.73)天和75.0%,两组比较差异有统计学意义(P<0.05);实验组手术时间、术中出血量及术后皮瓣感染率分别为(66.61±7.45)分钟、(5.64±1.35)ml和2.3%,对照组分别为(63.58±8.07)分钟、(5.75±1.40)ml和2.8%,两组比较差异无统计学意义(P>0.05)。结论渐进性皮瓣转移技术联合改良Devine术治疗小儿隐匿性阴茎,方法简单,术后效果肯定。Objective To explore the surgical method and effect evaluation of Progressive pedicled skin flap transfer combined with modified devine procedure in the treatment of concealed penis in children.Methods 80 patients with concealed penis admitted to Heze Municipal Hospital from July 2020 to July 2021 were retrospectively analyzed.Among them,44 cases were treated with progressive flap transfer technique combined with modified Devine operation(Experimental group);36 cases were treated with modified Devine operation(Control group).All operations were performed by the same surgeon.The operation effect was evaluated by observing and recording the operation time,blood loss in operation,penile length improvement,penile prepuce edema time,skin flap necrosis rate and postoperative satisfaction.Results Experimental group and control group of patients had successful operations,The length of penis extension,the time edema of penis foreskin and surgical satisfaction in experimental group were(2.67±0.29)cm,(55.09±5.52)days,and 95.5%,respectively,significantly better than the control group(2.12±0.36)cm,(70.22±7.73)days,and(75.0%),respectively,the difference was statistically significant(P<0.05).The time of operation,intraoperative bleeding and postoperative infection rate of patients in the experimental group were(66.61±7.45)min,(5.64±1.35)ml,2.3%,respectively;compared with control group[(63.58±8.07)min,(5.75±1.40)ml,2.8%],the difference was not statistically significant(P>0.05).Conclusion The surgical method of progressive pedicled skin flap transfer combined with modified Devine procedure is simple and effective,and it is worthy of clinical application in the treatment of concealed penis in children.

关 键 词：隐匿性阴茎 改良DEVINE术 包皮皮瓣 渐进性皮瓣转移 

分 类 号：R726.9[医药卫生—儿科]