摘要
目的:探讨包皮内外板皮瓣成形术治疗重度隐匿性阴茎的效果及对阴茎外观的影响.方法:纳入2020年1月-2022年4月笔者医院收治的60例重度隐匿性阴茎患儿,实施包皮内外板皮瓣成形术.术后,观察记录手术时间、皮瓣成活率、并发症发生情况、静态阴茎长度、小儿阴茎感知量表(Pediatric penile perception score,PPPS)评分及阴茎外观满意度.结果:随访时间8.54(3～16)个月,手术时间(49.36±5.17)min,皮瓣均成活,并发症发生率为13.33%(8/60).术后3个月静态阴茎长度为(4.46±0.52)cm,显著长于术前静态阴茎长度(1.52±0.24)cm(P＜0.05);尿道外口位置及形状、龟头外观、包皮外观、整体外观评分及PPPS总评分分别为2(2,3)分、2(2,3)分、2(2,3)分、2(2,3)分、10(9,11)分;阴茎外观满意率为96.67%(58/60).结论:包皮内外板皮瓣成形术治疗重度隐匿性阴茎的效果好,安全性高,能有效提高阴茎外观满意度.
Abstract
Objective To discuss the efficacy of foreskin inner-outer plate flap plasty for severe concealed penis and its effect on penis appearance.Methods A total of 60 children with severe concealed penis admitted to the author's hospital from January 2020 to April 2022 were enrolled,all the children were treated with foreskin inner-outer plate flap plasty.After operation,the operation time,flap survival rate,complications,static penile length,pediatric penile perception score(PPPS),and penile appearance satisfaction were observed and recorded.Results The follow-up time was 8.54(3～16)months,operation time was(49.36±5.17)min,all flaps were survived,and the complication rate were 13.33%(8/60).The static penis length was(4.46±0.52)cm at 3 months after operation,it was significantly longer than that before operation(1.52±0.24)cm(P＜0.05).The position and shape of urethral orifice,appearance of glans,appearance of foreskin,overall appearance score and total score of PPPS were 2(2,3)points,2(2,3)points,2(2,3)points,2(2,3)points,10(9,11)points,respectively.The satisfaction of penis appearance was 96.67%(58/60).Conclusion The foreskin inner-outer plate flap plasty for severe concealed penis had good effect,high safety,and could effectively improve the satisfaction of penis appearance.
维普
万方数据