中华泌尿外科杂志2024,Vol.45Issue(11) :875-876.DOI:10.3760/cma.j.cn112330-20240926-00427

儿童硬化性苔藓样变致阴茎头尿道口严重畸形1例报告

A case report of severe malformation of the urethral meatus of the glans caused by lichen sclerosus in children

汪丹 彭金普 占雄 吴谋东 王蔚 安妮妮
中华泌尿外科杂志2024,Vol.45Issue(11) :875-876.DOI:10.3760/cma.j.cn112330-20240926-00427

儿童硬化性苔藓样变致阴茎头尿道口严重畸形1例报告

A case report of severe malformation of the urethral meatus of the glans caused by lichen sclerosus in children

汪丹 1彭金普 1占雄 1吴谋东 1王蔚 1安妮妮1
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作者信息

  • 1. 贵州省人民医院小儿外科,贵州 550002
  • 折叠

摘要

儿童硬化性苔藓样变在临床常因缺乏对该疾病早期的认识和管理,导致较严重的并发症,本文报道1例儿童硬化性苔藓样变致阴茎头尿道口严重畸形.患儿因包皮口狭窄、排尿困难于当地医院就诊,考虑瘢痕性包茎行包皮环扎术.术中因包皮内板僵硬、包皮阴茎头严重粘连不能分离,包皮环扎术失败,仅切开阴茎背侧包皮狭窄环解决排尿困难,导致阴茎头尿道口严重畸形.于我院行阴茎头包皮瘢痕粘连松解、包皮环切、尿道外口扩大成形术,术后病理示硬化性苔藓样变.术后1年随访,阴茎头外观满意,排尿顺畅.

Abstract

Lichen sclerosus in children often leads to serious complications due to lack of early understanding and management of the disease.This paper reports a case of Lichen sclerosus in children with severe malformation of the urethral meatus of the penis.The patient was treated at a local hospital for preputial stenosis and dysuria,and cicatricial phimosis was considered.During the operation,due to the rigid inner plate of the foreskin,the penile head of the foreskin was severely adherent and could not be separated,and the circumcising operation failed.Only the narrow ring of the foreskin on the back of the penis was cut to solve the difficulty of urination,resulting in serious malformations of the meatus of the penile head.Subsequently,the patient was treated in our hospital for cicatricial adhesion release,circumcision and external urethral ostium plastic surgery.The postoperative pathology showed sclerosing lichenoid degeneration.After 1 year follow-up,the appearance was satisfactory and urination was smooth.

关键词

包茎/硬化性苔藓样变/儿童/生殖器畸形/包皮环切术

Key words

Phimosis/Lichen sclerosus/Children/Genital malformation/Circumcision

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出版年

2024
中华泌尿外科杂志
中华医学会

中华泌尿外科杂志

CSTPCDCSCD北大核心
影响因子:1.628
ISSN:1000-6702
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