摘要
目的:探讨游离包皮移植物卷管尿道成形术联合阴茎深筋膜覆盖治疗近端型尿道下裂患儿的效果。方法:选择2020年8月—2022年8月福建省立医院收治的63例近端型尿道下裂患儿作为研究对象。按照随机数表法将患儿分为对照组(n=31)和观察组(n=32)。对照组给予横裁包皮岛状皮瓣尿道成形术(Duckett)联合常规筋膜覆盖治疗,观察组给予游离包皮移植物卷管尿道成形术联合阴茎深筋膜覆盖治疗,比较两组围手术期相关指标、排尿功能、阴茎外观及术后并发症发生情况。结果:随访期间观察组失访2例,对照组失访1例,最终两组随访患者均为30例。两组新尿道长度、手术用时,术前、术后6个月排尿功能相关指标及随访期间并发症发生率比较,差异无统计学意义(P>0.05);观察组术后6个月小儿阴茎感知评分量表(PPPS)各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论:游离包皮移植物卷管尿道成形术联合阴茎深筋膜覆盖应用于近端型尿道下裂患儿的治疗,对新尿道长度、手术时长和排尿功能无明显影响,但可有效改善术后阴茎外观,且不会增加随访期间并发症发生率。
Objective:To explore the effect of free foreskin graft coil urethroplasty combined with penile deep fascia capping in children with proximal hypospadias.Method:A total of 63 children with proximal hypospadias who admitted to Fujian Provincial Hospital from August 2020 to August 2022 were selected as the research objects,the children were divided into the control group(n=31)and the observation group(n=32)according to the random number table method.The control group was treated with transverse circumcision island flap urethroplasty(Duckett)combined with conventional fascia covering treatment,while the observation group was treated with free foreskin graft coil urethroplasty combined with penile deep fascia capping.The perioperative related indicators,urinary function,penile appearance and postoperative complications were compared between two groups.Result:During the follow-up period,2 cases were lost in the observation group and 1 case was lost in the control group,finally,30 patients were followed up in two groups.There were no significant differences in the length of new urethra,the time of operation,the related indexes of urination function before and 6 months after operation and the incidence of complications during follow-up between two groups(P>0.05);the scores of each dimension of pediatric penile perception scale(PPPS)in the observation group at 6 months after operation were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Free foreskin graft coil urethroplasty combined with penile deep fascia capping combined with penile deep fascia capping in children with proximal hypospadias has no effect on significant the new urethra length,operation time and urination function,and it can effectively improve the penile appearance without increasing the occurrence of postoperative complications.
作者
李鋆
肖智祥
徐迪
何少华
LI Yun;XIAO Zhixiang;XU Di;HE Shaohua(Fujian Provincial Hospital,Fuzhou 350001,China;不详)
出处
《中外医学研究》
2023年第28期59-62,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
