摘要
目的探究渐进带蒂包皮瓣转移术治疗重型隐匿性阴茎的临床效果。方法选取2014年1月~2017年4月间我院收治的重型隐匿性阴茎患儿120例作为研究对象,采用随机数字表法分组,观察组60例采用渐进带蒂包皮瓣转移术治疗,对照组采用传统Devine术式治疗,对比两组患儿术后疗效、阴茎长度改善程度及住院时间。结果观察组总有效率为96.7%(58/60),显著高于对照组的85.0%(51/60),差异具有统计学意义(P<0.05);术前两组患儿阴茎长度对比无显著差异(P>0.05),术后5 d、术后30 d时观察组患儿阴茎长度均显著优于对照组(P<0.05);观察组患儿平均住院时间为(5.3±1.6)d,对照组平均住院时间为(5.2±1.6)d,两组对比无显著差异(P>0.05);两组患者均未出现手术相关并发症。结论渐进带蒂包皮瓣转移术治疗重型隐匿性阴茎的效果确切,可有效提高疗效,避免术后阴茎回缩,加速术后康复,值得在临床上推广和应用。
Objective To explore the clinical effect of progressive pedicled skin flap transfer in the treatment of severe concealed penis. Methods 120 children patients with severe concealed penis who were admitted to our hospital from January 2014 to April 2017 were selected as the study subjects. The random digital table method was used for grouping. 60 patients in the observation group were given progressive pedicled skin flap transfer, and the control group was given traditional Devine procedure. The postoperative efficacy, penis length improvement and length of hospital stay were compared between the two groups. Results The total effective rate was 96.7%（58/60） in the observation group,which was significantly higher than that in the control group（85.0%,51/60）, and the difference was statistically significant（P 0.05）; there was no significant difference in the length of penis between the two groups before surgery（P0.05）. The length of penis was significantly better in the observation group than that in the control group at 5 days after surgery and 30 days after surgery（P0.05）; The average length of hospital stay was（5.3±1.6） days in the observa tion group, and the average length of hospital stay was（5.2±1.6） days in the control group. There was no significant difference between the two groups（P0.05）; there were no surgery-related complications in both groups. Conclusion Progressive pedicled skin flap transfer is effective in the treatment of severe concealed penis, which can effectively improve the curative effect, avoid postoperative penile retraction, accelerate postoperative rehabilitation, and is worthy of clinical application and promotion.
出处
《中国现代医生》
2017年第29期12-14,19,共4页
China Modern Doctor
基金
江西省卫生计生委科技计划(20177264)
