摘要
目的探讨小儿隐匿阴茎选择青春期前期评估并手术治疗的价值。方法选取2019年6月至2021年6月惠州市第一人民医院泌尿外科收治的70例隐匿阴茎患儿作为研究对象,根据手术治疗时机不同分为青春期之前即刻手术组(n=37)和等待至青春期前期后手术组(n=33),两组患儿均行改良Devine手术治疗,两组术后均进行3个月随访,评价两组患儿治疗效果、阴茎恢复情况及家属满意度情况。结果青春期之前即刻手术组治疗总有效率为97.30%,等待至青春期前期后手术组总有效率为96.97%,组间比较差异无统计学意义(P>0.05);术后3个月,等待至青春期前期后手术组患儿阴茎增加长度系数、皮肤外观评分高于青春期之前即刻手术组患儿,差异有统计学意义(P<0.05);术后3个月,两组患儿阴茎外观评分比较,差异无统计学意义(P>0.05)。术后3个月,等待至青春期前期后手术组患儿家属的满意度为93.94%,高于青春期之前即刻手术组家属的满意度70.27%,差异有统计学意义(P<0.05)。结论对隐匿阴茎患儿,等待至青春期前期后评估阴茎情况并选择相应手术治疗可改善阴茎皮肤外观,增加阴茎长度,且提高家属满意度。
Objective This study explored the value of re-evaluation of concealed penis in children and surgical treatment in early adolescence.Methods A total of 70 children were selected with occult penis treated in The Department of Urology of The First People’s Hospital of Huizhou between June 2019 and June 2021.According to the timing of different surgical treatments,the patients were divided into two groups:immediate surgery before puberty(n=37)and surgery after waiting until pre-puberty(n=33).Both groups received modified Devine surgery.The two groups were followed up for 3 months after the operation to evaluate the treatment effects,penile recovery and family satisfaction.Results The total effectiveness rate was 97.30%in the group receiving immediate operation before puberty and96.97%in the group receiving operation after pre-puberty,with no statistically significant difference(P>0.05).Three months after surgery,the increases in the penile length coefficient and the skin appearance score in the group receiving surgery after pre-puberty were significantly higher than those in the group receiving surgery before puberty(P<0.05).Three months after surgery,no significant difference was found in the penile appearance score between groups(P>0.05).Three months after surgery,the satisfaction of family members in the group receiving surgery after pre-puberty was 93.94%,a value significantly higher than that in the group receiving surgery before puberty(70.27%;P<0.05).Conclusion For children with concealed penis,waiting until early adolescence to evaluate penile condition and select the corresponding surgical treatment can improve the appearance of penile skin,increase the length of the penis,and improve the satisfaction of family members.
作者
岳巍巍
Yue Weiwei(Department of Urology,The First People’s Hospital of Huizhou,Huizhou,Guangdong,516000,China)
出处
《泌尿外科杂志（电子版）》
2021年第4期80-83,共4页
Journal of Urology for Clinicians(Electronic Version)
基金
2021年惠州市科技计划(医疗卫生)项目(2021WC0106269)
关键词
青春期前期
手术
隐匿阴茎
满意度
Early adolescence
Surgery
Concealing the penis
Satisfaction
