小儿隐匿阴茎应用改良Devine术的效果研究  

Effect of the modified Devine technique on the concealed penis in children

作　　者：周佳 刘耀 王芯芯 Zhou Jia;Liu Yao;Wang Xinxin(Operating Room,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325000,Zhejiang Province,China;"Department of Urology,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325000,Zhejiang Province,China)

机构地区：[1]温州市中西医结合医院手术室,温州325000 [2]温州市中西医结合医院泌尿外科,温州325000

出　　处：《中国基层医药》2024年第7期1017-1021,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市基础性科研项目(Y20180811)。

摘　　要：目的观察小儿隐匿阴茎(CP)应用改良Devine术的效果及随访3年效果。方法回顾性分析2015年1月至2018年12月温州市中西医结合医院收治的CP患儿80例, 根据外科手术策略不同分两组, 对照组39例行传统Devine术, 研究组41例行改良Devine术。比较两组手术效果、手术指标、阴茎长度、并发症、随访3年效果。结果研究组总有效率为95.12%(39/41), 高于对照组的79.49%(31/39)(χ^(2)=4.47, P<0.05)。研究组手术时间、手术出血量和住院时间分别为(40.58±5.54)min、(20.43±4.38)mL和(6.75±0.34)d, 均短于、少于对照组(t=2.95、2.32、4.83, 均P<0.05)。术后12周, 两组阴茎长度均较术前长(均P<0.05), 研究组阴茎长度为(4.18±0.57)cm, 明显长于对照组(t=3.14, P<0.05)。研究组并发症发生率[19.51%(8/41)]较对照组[43.59%(17/39)]低(χ^(2)=5.39, P<0.05)。随访3年, 对照组6例发生回缩, 因根部固定不佳造成;2例因肥胖致外观不佳, 但阴茎体发育尚可。对照组余下患儿与研究组患儿均阴茎显露充分, 外观满意, 且无退缩情况出现。结论改良Devine术治疗小儿CP效果肯定, 手术时间短, 手术出血量少, 利于阴茎形态恢复, 并发症少, 且患儿能尽早出院。Objective To investigate the effect of modified Devine technique on the concealed penis in children and the 3-year follow-up outcomes.Methods Eighty children with concealed penis who underwent treatment at Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine between January 2015 and December 2018 were retrospectively included in this study.These children were categorized into two groups:a control group(n=39)and a study group(n=41),based on their surgical strategies.The control group underwent traditional Devine surgery,and the study group underwent modified Devine surgery.The surgical effects,surgical indicators,the length of the penis,complications,and 3-year follow-up outcomes were compared between the two groups.Results The overall response rate in the study group was 95.12%(39/41),which was significantly higher than the 79.49%(31/39)in the control group(χ^(2)=4.47,P<0.05).The operative time,blood loss during surgery,and the length of hospital stay in the study group were(40.58±5.54)minutes,(20.43±4.38)mL,and(6.75±0.34)days,respectively.All these measures were shorter than those in the control group(t=2.95,2.32,4.83,all P<0.05).At 12 weeks post-surgery,the length of the penis in both groups increased significantly compared with respective pre-surgery measurements(P<0.05).Notably,the lengths of the penis in the study group were(4.18±0.57)cm,which were significantly longer compared with those in the control group(t=3.14,P<0.05).Moreover,the incidence of complications in the study group was significantly lower than that in the control group[19.51%(8/41)vs.43.59%(17/39),χ^(2)=5.39,P<0.05].During the 3-year follow-up,six cases in the control group developed penis retraction due to poor root fixation,while two cases exhibited poor appearance due to obesity,although their penile body development was considered acceptable.All remaining children in the control group and those in the study group had full penis exposure,a satisfactory appearance,and no retraction.Conclusion The modified Devine te

关 键 词：阴茎疾病 手术时间 失血 手术 住院时间 手术后并发症 随访研究 儿童 

分 类 号：R726.9[医药卫生—儿科]