论文部分内容阅读
目的:探讨竖形带蒂皮瓣横置法治疗重度小儿隐匿阴茎的疗效。方法:收集我院2014年2~12月手术治疗的隐匿阴茎患儿43例,随机分两组,试验组21例采用竖形带蒂皮瓣横置法,对照组22例采用改良Shiraki术式。比较两组的手术时间、术中出血量、包皮消肿时间及家长对外观满意度。结果:试验组与对照组手术时间分别为(45.0±6.8)min和(42.0±5.3)min,术中出血量为(5.0±1.2)ml和(6.0±0.8)ml,均无统计学差异(P>0.05);阴茎消肿时间为(9.0±2.3)d和(15.0±4.8)d,家长满意度为95.23%和31.81%,两组之间有统计学差异(P<0.05)。两组患儿均在术后3 d拆除阴茎敷料及弹力绷带,术后的随访观察3~6个月,所有病例阴茎体显露良好,无回缩及复发,但是试验组包皮消肿时间短,外型更美观,家长更满意。结论:竖形带蒂皮瓣横置法治疗重度小儿隐匿阴茎,能够更加合理利用包皮,彻底解除包皮狭窄环且外形美观,对于治疗重度小儿隐匿阴茎,是一种可行的手术方式。
Objective: To investigate the curative effect of vertical pedicle flap pedicle flap method in treating severe concealed penis in children. Methods: Forty-three children with latent penis underwent surgical treatment in our hospital from February to December 2014 were randomly divided into two groups. Twenty-one cases in the test group were treated with vertical pedicle flap pedicle flap method and 22 cases in control group with modified Shiraki operation . The operation time, intraoperative blood loss, circumcision time and parents’ satisfaction with appearance were compared between the two groups. Results: The operative time was (45.0 ± 6.8) min and (42.0 ± 5.3) min respectively in the test group and the control group. The intraoperative blood loss was (5.0 ± 1.2) ml and (6.0 ± 0.8) ml respectively, with no significant difference P> 0.05). The duration of penile swelling was (9.0 ± 2.3) d and (15.0 ± 4.8) days, respectively. Satisfaction of parents was 95.23% and 31.81% respectively. There was a significant difference between the two groups (P <0.05). The two groups of children were removed penile dressing and elastic bandages 3 days after surgery, postoperative follow-up observation of 3 to 6 months, all cases showed good penis, no retraction and recurrence, but the test group swelling of the foreskin is short, More beautiful appearance, parents are more satisfied. Conclusion: Vertical pedicle flap pedicle flap treatment of severe pediatric concealment of the penis, can be more reasonable use of the foreskin, complete circumcision circumcision and beautiful appearance, for the treatment of severe pediatric concealment of the penis, is a viable surgical approach.