采用阴囊V形切口的Borsellino术治疗隐匿性阴茎疗效分析  

Curative effect of Borsellino surgery with a scrotal V-incision on concealed penis

作　　者：王沈凡 朴曙光 刘智勇 王磊 WANG Shen-fan;PIAO Shu-guang;LIU Zhi-yong;WANG Lei(Department of Urology,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院泌尿外科,上海200433

出　　处：《中国临床医学》2023年第3期515-519,共5页Chinese Journal of Clinical Medicine

摘　　要：目的探讨通过改良Borsellino术治疗隐匿性阴茎的疗效。方法选择2017年1月至2021年10月在海军军医大学第一附属医院泌尿外科诊治的74例隐匿性阴茎患儿,合并蹼状阴茎患儿21例。对所有患儿均采用阴囊V形切口的改良Borsellino术,并在术后1、3、6个月进行随访。分析患者手术时间、术后阴茎延长长度、术后并发症及手术满意度等。结果患儿年龄(11.1±3.0)岁,平均体质量指数(BMI)为(23.0±4.5)kg/m^(2)。手术时间为(82.9±16.7)min。术后阴茎延长长度为(2.97±0.21)cm,其中合并蹼状阴茎组延长长度为(3.05±0.18)cm,大于不合并组[(2.93±0.21)cm,P<0.05]。术后发生包皮水肿(3例,4.0%)、包皮切口瘢痕(4例,5.4%)、切口感染(2例,2.7%)与血肿(1例,1.4%)。患儿家属非常满意40例(54.1%)、满意27例(36.5%)、一般5例(6.8%),不满意2例(2.7%)。结论该改良Borsellino术对隐匿性阴茎有较满意的手术效果,尤其适用于合并蹼状阴茎的隐匿性阴茎患儿。Objective To explore the effect of modified Borsellino surgery on concealed penis.Methods 74 adolescents with concealed penis including 21 webbed penis patients from January 2017 to October 2021 were enrolled.All patients underwent modified Borsellino surgery with a scrotal V-incision.All patients were followed up 1,3,and 6 months after surgery.The operative time,postoperative penis lengthening,postoperative complications and surgical satisfaction were analysed.Results The patients was(11.1±3.0)years old,with body mass index(BMI)was(23.0±4.5)kg/m^(2).The operative time was(82.9±16.7)min.The postoperative penis lengthening was(2.97±0.21)cm.The extension lengthening of patients with webbed penis was(3.05±0.18)cm,which was higher than that of patients without webbed penis([2.93±0.21]cm,P<0.05).The complications included prepuce oedema(3 cases,4.0%),prepuce scars(4 cases,5.4%),incision infection(2 cases,2.7%),hematoma(1 case,1.4%).40(54.1%),27(36.5%),5(6.8%),and 2(2.7%)patients or there parents were very satisfied,satisfied,generally satisfied,and dissatisfied to the surgery,respectively.Conclusion This modified Borsellino surgery achieved satisfactory results for concealed penis,especially for the patients with webbed penis.

关 键 词：青少年 隐匿性阴茎 Borsellino术 V形切口 蹼状阴茎 

分 类 号：R697.12[医药卫生—泌尿科学]