Sun Long,Shen Yiding,Tang Daxing,et al.Pediatric Penile Perception Score in assessment of penile appearance after hypospadias surgery[J].Journal of Clinical Pediatric Surgery,2018,17(09):688-691.
小儿阴茎感知量表在尿道下裂术后阴茎外观评估中的应用
- Title:
- Pediatric Penile Perception Score in assessment of penile appearance after hypospadias surgery
- Keywords:
- Hypospadias; PPPS; Cosmetic; Assessment
- 文献标志码:
- A
- 摘要:
- 目的 初步探讨小儿阴茎感知量表(Pediatric Penile Perception Score，PPPS)在评估尿道下裂术后阴茎外观中的作用。方法 以2014年1月至2016年12月由同一泌尿外科医生行尿道板中央切开卷管尿道成形术（Tubularized incised plate，TIP）的尿道下裂术后患儿为研究对象，随访中由患儿父母、非手术医生分别完成小儿阴茎感知评分量表(PPPS)，同时在基于盲法分组的设计下，患儿父母评估包皮环切术后照片纠正父母对阴茎外观的认知偏差，对比分析该量表在评估尿道下裂术后阴茎外观中的作用。结果 共纳入74例患儿，手术年龄6～144月，平均36月，术后随访时间1～117月，平均12月。PPPS结果显示，泌尿外科医生、患儿父母对尿道下裂术后阴茎外观评分分别为（2.83 ± 0.28）分、（2.32 ± 0.52）分，医生对尿道下裂术后阴茎外观评分远显著高于患儿父母 (P<0.001)。结论 PPPS能客观地用于尿道下裂术后阴茎外观的评估，医生及患儿父母存在明显评估差异。
- Abstract:
- Objective To evaluate the role of Pediatric Penile Perception Score( PPPS ) in assessment of penile appearance after hypospadias surgery. Methods The clinical data from patients, who were treated with TIP urethroplasty by the same urologist, were collected from January 2014 to December 2016 in our hospital. All the parents of boys were interviewed by a urologist in our department with Pediatric Penile Perception Score, as well as other experienced urologists. Results In our study, 74 patients, age from 6 to 144 months (mean 36 months), underwent urethroplasty with mean follow-up of 12 months (1～117 months). The PPPS allowed urologists and parents to assess cosmetic result after hypospadias surgery. The data showed that parents’ assessment of the cosmetic outcome was worse than urologists’ assessment (P < 0.0001). However, no significant difference was found between parents’ assessment of urethroplasty and circumcision (P > 0.05). Conclusions The Pediatric Penile Perception Score is a reliable instrument to assess cosmetic outcome after hypospadias repair, urologists’ assessment of the cosmetic outcome was better than parents’.
参考文献/References:
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