阴茎上移法治疗小儿阴茎阴囊转位的疗效观察  

Effectiveness of penis up transfer method for penoscrotal transposition in children

作　　者：吴永隆 胡杨[1] 王寿福 徐波[1] 徐延波 陈海琛 WU Yonglong;HU Yang;WANG Shoufu;XU Bo;XU Yanbo;CHEN Haichen(Department of Pediatric Surgery,Affiliated Women and Children’s Hospital,Xiamen University,Xiamen Fujian,361003,P.R.China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)小儿外科,福建厦门361003

出　　处：《中国修复重建外科杂志》2022年第6期776-780,共5页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的 探讨阴茎上移法治疗小儿阴茎阴囊转位(penoscrotal transposition,PST)的疗效。方法 回顾分析2015年1月—2021年3月收治且符合选择标准的46例PST患儿临床资料。其中,21例采用阴囊M形皮瓣法(A组),25例采用阴茎上移法(B组)。两组患儿年龄及PST分型比较,差异均无统计学意义(t=0.491,P=0.626;χ^(2)=0.710,P=0.790)。记录并比较两组手术时间、术后并发症发生情况,并评价PST矫正效果。结果 两组手术均顺利完成,术中无尿道损伤。B组手术时间(70.36±9.76)min,较A组(96.62±13.18)min缩短,差异有统计学意义(t=7.553,P=0.000)。术后患儿均获随访,随访时间6~33个月,平均13.2个月。A组术后发生皮肤坏死5例(23.8%)、瘢痕增生6例(28.6%),B组各发生1例(4.0%);B组上述两种并发症发生率均低于A组,差异有统计学意义(χ^(2)=3.949,P=0.047;χ^(2)=5.341,P=0.021)。术后6个月PST矫正评价,A组完全矫正15例、不完全矫正6例,B组完全矫正24例、不完全矫正1例,差异有统计学意义(χ^(2)=5.341,P=0.021)。结论采用阴茎上移法矫正小儿PST不仅手术操作简便,还能同时矫正阴囊分裂,术后并发症少,阴茎阴囊外观满意。Objective To investigate the effectiveness of penile up transfer method in the treatment of penoscrotal transposition (PST) in children.Methods A clinical data of 46 children with PST admitted between January2015 and March 2021 and met selective criteria was retrospectively analyzed.The M-shaped scrotal flap method was adopted in 21 cases (group A),and the penile up transfer method was adopted in 25 cases (group B).There was no significant difference in age and PST typing between the two groups (t=0.491,P=0.626;χ~2=0.710,P=0.790).The operation time and postoperative complications of the two groups were recorded and compared,and the correction effect of PST was evaluated.Results All operations were successfully completed,and no urethral injury occurred during operation The operation time was significantly less in group B than in group A [(70.36±9.76) minutes vs.(96.62±13.18) minutes t=7.553,P=0.000].All children were followed up 6-33 months (mean,13.2 months).There were 5 cases (23.8%) of skin necrosis and 6 cases (28.6%) of scar hyperplasia in group A,and 1 case (4.0%) of skin necrosis and 1 case (4.0%) of scar hyperplasia in group B.The incidence of complication was significantly lower in group B than in group A (χ~2=3.949P=0.047;χ~2=5.341,P=0.021).In the evaluation of PST correction at 6 months after operation,there were 15 cases of complete correction and 6 cases of incomplete correction in group A,24 cases of complete correction and 1 case of incomplete correction in group B,and the difference was significant (χ~2=5.341,P=0.021).Conclusion The penis up transfer method is not only easy to correct PST,but also can correct scrotal separation at the same time,with fewer postoperative complications and satisfactory correction effect of penile scrotal appearance.

关 键 词：阴茎阴囊转位 阴茎上移法 阴囊M形皮瓣法 

分 类 号：R726.9[医药卫生—儿科]