摘要
目的探讨经阴茎背侧入路行脱套固定术治疗儿童先天性隐匿阴茎的临床疗效。方法回顾性收集2014年8月至2018年8月由大连市儿童医院泌尿外科经阴茎背侧入路行脱套固定术治疗的113例先天性隐匿阴茎患儿作为研究对象,年龄最小者3岁,最大者14岁,平均手术年龄4. 3岁,手术时间30～60 min,平均手术时间40 min,随访时间为2～48个月。结果 113例隐匿阴茎患儿术后切口均Ⅰ期愈合,包皮内外板无感染及坏死,阴茎体显露充分,无阴茎体回缩,排尿通畅,部分病例合并腹侧包皮内板水肿,术后4～6周逐渐恢复正常。4例完全型隐匿阴茎因耻骨前脂肪堆积导致显露不佳,经减肥后好转,术中未出现阴囊血肿、蹼状阴茎及切口瘢痕挛缩病例。结论经阴茎背侧入路脱套固定术是治疗先天性隐匿阴茎的有效方法之一,该术式可减少阴囊角重建,术后更接近自然外观,同时也简化了手术流程,减少了阴囊血肿及瘢痕挛缩等并发症的发生。
Objective To propose a new surgical approach of degloved fixation for children with congenital concealed penis and evaluated its clinical efficacy. Methods Retrospective analysis was performed for 113 patients undergoing dorsal approach of degloved fixation.The mean operative age was 4.3(3-14) years,the mean operative duration 40(30-60) min and the follow-up time 2-48 months. Results The cosmetic outcomes were satisfactory,penile body was fully exposed and all children urinated smoothly without scrotal hematoma,webbed penis or incision scar contracture.Ventral foreskin lymphoedema gradually disappeared in 4-6 weeks post-operation.Four cases showed a poor exposure due to prepubic fat accumulation and improved after losing weight. Conclusion Dorsal approach of degloved fixation may avoid a reconstruction of penoscrotal angle.This simple approach is efficacious for congenital concealed penis with natural appearance and fewer complications of scrotal hematoma and scar contracture.
作者
张帅
刘殿勇
高莉娟
Zhang Shuai;Liu Dianyong;Gao Lijuan(Department of Urology,Dalian Children's Hospital,Dalian,116012,China)
出处
《临床小儿外科杂志》
CAS
2018年第12期898-901,906,共5页
Journal of Clinical Pediatric Surgery
关键词
隐匿阴茎
外科手术
治疗
儿童
Concealed Penis
Surgical Procedures, Operative
Therapy
Child
