改良Devine术联合阴囊皮瓣推移术与传统Devine术治疗儿童隐匿性阴茎的临床疗效比较  

A comparative study on the clinical efficacy of modified Devine surgery combined with scrotal flap transfer and traditional Devine surgery in the treatment of concealed penis in children

作　　者：赵佳羽 聂欢 高强利 ZHAO Jiayu;NIE Huan;GAO Qiangli(Department of Urology,Puren Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430081;Medical College,Wuhan University of Science and Technology,Wuhan 430080,China)

机构地区：[1]武汉科技大学附属普仁医院泌尿外科,湖北武汉430081 [2]武汉科技大学医学院,湖北武汉430080

出　　处：《现代泌尿外科杂志》2024年第2期136-140,共5页Journal of Modern Urology

摘　　要：目的比较改良Devine术联合阴囊皮瓣推移术与传统Devine术治疗儿童隐匿性阴茎(CP)的临床疗效,为儿童CP的手术治疗提供参考。方法回顾性分析2019年6月—2022年9月在武汉科技大学附属普仁医院泌尿外科接受手术治疗的54例CP患儿的临床资料,根据手术方法分为两组。采用传统Devine术的27例为传统组,采用改良Devine术联合阴囊皮瓣推移术(以下简称“双脱套法”)的27例为改良组。收集两组围术期指标、术后并发症发生率、阴茎延长情况、术后外观满意度等数据。结果改良组患儿手术时间为(62.78±5.07)min,长于传统组的(55.93±4.83)min,差异有统计学意义(t=5.085,P<0.05)。改良组中度和重度CP患儿术后1、6个月阴茎体显露长度及阴茎延长长度均高于传统组,差异具有统计学意义(P<0.05)。传统组患儿包皮水肿时间及中、重度CP患儿家长手术满意度分别为(6.93±1.54)d、(2.44±0.62)分和(2.44±0.73)分;改良组分别为(5.56±1.16)d、(2.83±0.38)分和(3.00±0)分,两组比较差异有统计学意义(P<0.05)。两组术中出血量及并发症发生率差异无统计学意义(P>0.05)。结论在CP患儿的治疗中采用改良Devine术联合阴囊皮瓣推移术效果好、外观好,具有较高的应用价值。Objective To analyze the clinical efficacy of modified Devine surgery combined with scrotal flap transfer in the treatment of concealed penis(CP)in children and provide reference for the surgical treatment of CP in children.Methods The clinical data of 54 CP children who underwent surgery in the Department of Urology,Puren Hospital Affiliated to Wuhan University of Science and Technology during Jun.2019 and Sep.2022 were retrospectively analyzed,including 27 patients treated with traditional Devine surgery(control group),and 27 patients in the modified group treated with modified Devine surgery combined with scrotal flap transfer(double degloving).The perioperative indexes,incidence of postoperative complications,penile lengthening and satisfaction of postoperative appearance were recorded.Results The surgical time of the modified group was longer than the control group[(62.78±5.07)min vs.(55.93±4.83)min](t=5.085,P<0.05).The exposed length and penile lengthening length with moderate and severe CP patients in the modified group at 1 and 6 months after surgery were higher than those in the control group(P<0.05).The duration of prepuce edema,and the satisfaction of family members of moderate and severe CP children were(6.93±1.54)d vs.(5.56±1.16)d,(2.44±0.62)vs.(2.83±0.38),and(2.44±0.73)vs.(3.00±0)between the control and modified groups(P<0.05).There were no statistically significant difference in intraoperative bleeding volume and incidence of complications between the two groups(P>0.05).Conclusion In the treatment of CP,modified Devine surgery combined with scrotal flap transfer can produce good effects and appearance,which is of high application value.

关 键 词：隐匿性阴茎 改良DEVINE术 阴囊皮瓣推移术 传统Devine术 

分 类 号：R726.9[医药卫生—儿科]