以超声分型为指导的环T切口隐匿性阴茎成形术临床应用探讨  

Exploration of the clinical application of concealed penile reconstruction using the subtyping criteria guided by ultrasound

作　　者：殷玮琪 苏瑞 吴科荣[1] 廉艳东 王国耀[1] Yin Weiqi;Su Rui;Wu Kerong;Lian Yandong;Wang Guoyao(Department of Urology,Ningbo University Afiliated First Hospital,Ningbo 315010,Zhejiang,China;Department of Radiology,Ningbo University Afiliated First Hospital,Ningbo 315010,Zhejiang,China)

机构地区：[1]宁波大学附属第一医院泌尿外科,浙江宁波315010 [2]宁波大学附属第一医院放射科,浙江宁波315010

出　　处：《中国男科学杂志》2024年第3期66-69,共4页Chinese Journal of Andrology

基　　金：宁波市公益项目基金(202002N3198);浙江省中医药科技计划项目(2020ZB215)。

摘　　要：目的探讨以超声结果为分型依据的隐匿性阴茎环T切口阴茎成形术的临床应用价值。方法收集宁波大学附属第一医院2022年8月至2023年7月临床确诊为隐匿性阴茎,且接受超声检查的病例资料30例。根据超声检查之内部阴茎长度与外部阴茎长度的比值,将患者分为轻中型组和中重型组,分别采用背侧纵形环T切口阴茎成形术和腹侧纵形环T切口阴茎成形术,对比两组的手术时间、手术疗效及并发症。结果两组均可通过浅表或腹部探头获得较清晰的外部阴茎和内部阴茎声像图,患者术后阴茎显露均满意,术后随访无严重并发症。中重型组患者手术时间长于轻中型组。结论通过术前浅表及腹部探头联合探测对隐匿性阴茎患者进行分型,有助于隐匿性阴茎手术方案的选择,有临床推广价值。Objective To explore the clinical application value of concealed penis reconstruction using the subtyping criteria guided by ultrasound detection.Methods Collect clinical data of 30 cases who were diagnosed with concealed penis and underwent ultrasound at the First Affiliated Hospital of Ningbo University from August 2022 to July 2023.Patients were divided into mild-moderate group and moderate-severe group based on the ratio of internal penile length to external penile length.The operation was performed using the dorsal longitudinal incision of the penile subtyping in the mild-moderate group and the ventral longitudinal incision of the penile subtyping in the moderate-severe group.The surgical time,surgical efficacy,and complications were compared between two groups.Results Clear external and internal penile sonograms were obtained using superficial or abdominal probes in both groups.Patients in both groups were satisfied with the postoperative penile exposure,with no recurrence,persistent phimosis,penile hematoma,or residual constricting ring of the foreskin.The surgical time was longer in the moderate-severe group than in the mild-moderate group.Conclusion Preoperative superficial and abdominal probe combined detection for subtyping concealed penis patients helps in selecting the surgical approach.Concealed penis reconstruction using the ventral longitudinal incision of the penile subtyping with scrotal skin coverage in severe concealed penis patients showed satisfactory postoperative efficacy and fewer complications,and it has clinical significance for promotion.

关 键 词：隐匿性阴茎 超声检查 阴茎成形术 

分 类 号：R697.11[医药卫生—泌尿科学]