带蒂背侧包皮翻转法在重度隐匿性阴茎手术治疗中的疗效分析  

Efficacy analysis of dorsal pedicled foreskin flap turnover method on severe concealed penis

作　　者：贺庆豹 桂萌 张磊 李开升[1] He Qingbao;Gui Meng;Zhang Lei;Li Kaisheng(Department of Minimally invasive urology surgery,Jinan Children's Hospital,Children's Hospital Affiliated to Shandong University,Jinan 250022,China)

机构地区：[1]济南市儿童医院(山东大学附属儿童医院)泌尿微创外科,济南250022

出　　处：《中华小儿外科杂志》2025年第1期62-65,共4页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨带蒂背侧包皮翻转法治疗重度隐匿性阴茎的特点及临床疗效。方法回顾性分析2019年6月至2021年8月在济南市儿童医院行带蒂背侧包皮翻转法治疗的86例重度隐匿性阴茎患儿临床资料,患儿平均年龄为5.7岁,范围在2.5~14.0岁。记录患儿的手术时间、住院时间,评估患儿术后排尿状况和并发症状况,并对所有患儿进行随访。结果所有患儿均顺利完成手术,手术时间为35~55 min,术后患儿阴茎背侧观与包皮环切后类似,转移皮瓣位于腹侧。所有患儿均住院9 d左右,术后7 d时拆除敷料即可出院,出院时均拔除尿管,排尿通畅。患儿术后随访9~23个月。12例患儿术后2周复查时包皮内板轻度水肿,术后4~10周水肿均明显消退。术后1个月复查切口均愈合,包皮内外板无缺血坏死及挛缩。术后2个月患儿阴茎体暴露良好无回缩。3例患儿术后1年复查时腹侧皮肤轻微臃肿,但无需再次手术。所有患儿家长对阴茎外观较满意。结论带蒂背侧包皮翻转法手术操作简单,可完全解除隐匿性阴茎中存在的病理异常,术后阴茎显露良好无回缩,术后瘢痕少,手术效果好,患儿家长满意度高,是矫正重度隐匿性阴茎的理想手术方法,值得临床推广。Objective To explore the characteristics and clinical efficacy of pedicled dorsal foreskin inversion in treating severe concealed penis.MethodsFrom June 2019 to August 2021,the clinical data of 86 children with severe concealed penis,who were treated with pedicled dorsal foreskin inversion at the Jinan Children's Hospital,were retrospectively analyzed.The average age of the children was 5.7 years,with a range from 2.5 to 14.0 years.The operation time and hospitalization duration of the patients were recorded,and the postoperative urination and complications were evaluated.All patients were followed up.ResultsAll patients successfully underwent the operation,with an operation time ranging from 35 to 55 minutes.Postoperatively,the dorsal view of the penis resembled circumcision,with the transferred flap positioned on the ventral side.All patients were hospitalized for approximately 9 days,and discharged 7 days after surgery with smooth urination upon removal of the urinary catheter.The children were followed up for 9-23 months after operation,with the penile body remaining well-exposed without retraction.The incisions were healed one month after operation,with no signs of ischemic necrosis or contracture on the inner and outer plates of the foreskin.Twelve children exhibited mild edema on the inner prepuce plate two weeks post-surgery,and resolved markedly within 4-10 weeks.Additionally,the ventral skin of 3 children was slightly bloated one year postoperatively,but reoperation was unnecessary.Their parents expressed satisfaction with their appearance.ConclusionsThe pedicled dorsal foreskin inversion technique is a straightforward procedure that completely resolves the pathological abnormalities associated with concealed penis,resulting in well-exposed penile structure without retraction and minimal scarring.This surgical approach yields high parental satisfaction.It is an ideal surgical method to correct severe concealed penis and is worthy of clinical promotion.

关 键 词：阴茎疾病 隐匿性阴茎 包皮 

分 类 号：R726.9[医药卫生—儿科]