摘要
目的 观察改良Devine术治疗小儿先天性隐匿性阴茎的临床效果。方法 选取2019年6月—2022年8月本院收治的86例先天性隐匿性阴茎的患儿作为临床观察对象,均行改良式Devine手术,且术中、术后均不留置导尿管。结果 84例(2例失访)患儿的手术均取得成功,术后随访要求不少于半年,术后患儿阴茎显露均良好,术前阴茎自然状态显露长度(1.46±0.28)cm,术后阴茎自然显露长度(5.30±0.42)cm,术后阴茎自然显露长度与术前相比差异显著,统计学有意义(P<0.05)。手术后无发生尿潴留,3个月内阴茎水肿5例(发生率5.95%),无皮瓣、龟头坏死病例,无伤口裂开、伤口感染病例,无阴茎出现回缩病例。结论 改良Devine术治疗小儿先天性隐匿性阴茎,手术效果良好,手术并发症少,是一种较好的治疗方式。
Objective To observe clinical effect of modified Devine procedure in treatment of congenital hidden penis of children.Methods The paper chose 86 children with congenital hidden penis admitted to our department from June 2019 to August 2022 as clinical observation subjects,with modified Devine surgery without indwelling catheters during or after surgery.Results Surgery was successful for all 84 patients(2 out of follow-up),postoperative follow-up was no less than half a year.Postoperative penile exposure of patients was good,with natural exposure length of(1.46±0.28)cm before surgery and(5.30±0.42)cm after surgery.There was significant difference in natural exposure length of penis after surgery compared with before surgery,with statistical significance,P< 0.05.There was no case of urinary retention after operation,5 cases of penile edema within 3 months,with an incidence of 5.95%.There were no cases of skin flap,glans necrosis,wound dehiscence,wound infection and penile retraction.Conclusion Modified Devine operation can achieve good surgical effect in treatment of congenital hidden penis of children,with fewer surgical complications,which is a better treatment method.
作者
李伟政
李红辉
李耀军
浦征宇
吴国兴
LI Weizheng;LI Honghui;LI Yaojun;PU Zhengyu;WU Guoxing(Department of Pediatric Urology,Dongguan City Children's Hospital,Dongguan,Guangdong 523320)
出处
《智慧健康》
2024年第2期52-54,59,共4页
Smart Healthcare
