Zou Jinhan,Ruan Shuai,Zhou Yixin,et al.Comparison of clinical efficacy between modified penis lengthening and plastic surgery and modified Devine surgery for concealed penis[J].Journal of Clinical Pediatric Surgery,2022,21(11):1081-1085.[doi:10.3760/cma.j.cn101785-202207010-015]
改良阴茎延长及整形术与改良Devine术治疗隐匿性阴茎的临床疗效对比
- Title:
- Comparison of clinical efficacy between modified penis lengthening and plastic surgery and modified Devine surgery for concealed penis
- Keywords:
- Penis; Anatomy; Histology; Penile Prosthesis; Penile Erection; Surgery; Plastic
- 摘要:
- 目的 对比改良阴茎延长及整形术与改良Devine术治疗隐匿性阴茎的临床疗效。方法 本研究为回顾性研究。以2018年1月至2022年4月在湖南省人民医院行手术治疗的106例隐匿性阴茎患儿为研究对象。根据手术方式分为改良Devine术组（51例）、改良阴茎延长及整形术组（55例）。改良Devine术组行改良Devine阴茎松解术，改良阴茎延长及整形术组行改良阴茎浅深筋膜整体脱套固定阴茎延长阴茎整形术。对比两组患儿手术时间，手术出血量，术前、术后阴茎长度，随访阴茎长度，术后满意度评分。结果 106例患儿均顺利完成手术。改良Devine术组、改良阴茎延长及整形术组手术时间[（44.29±3.06） min比（43.31±2.89） min]、术中出血量[（6.82±1.75） mL比（6.71±1.40） mL]差异无统计学意义（P>0.05）；术后阴茎长度[（3.80±0.72） cm比（4.71±0.75） cm]、最终阴茎增加长度[（1.86±0.43） cm比（2.05±0.46） cm]差异有统计学意义（P<0.05）；而两组术前阴茎长度[（1.06±0.70） cm比（1.25±0.70） cm]、术后阴茎增加长度[（2.74±0.56） cm比（2.86±0.51） cm]、阴茎回缩长度[（0.88±0.49） cm比（0.80±0.41） cm]差异无统计学意义（P>0.05）。两组并发症评分[（3.59±0.61）分比（3.80±0.45）分]、总体满意度评分[（8.06±1.09）分比（8.60±1.08）分]差异有统计学意义（P<0.05）；两组阴茎外形满意度评分[（2.10±0.43）分比（2.24±0.43）分]及其他方面评分[（2.41±0.50）比（2.56±0.59）分]差异无统计学意义（P>0.05）。结论 改良阴茎延长及整形术是一种治疗儿童隐匿性阴茎的可靠术式，操作步骤简单，能够使患儿获得更加理想的术后阴茎长度。
- Abstract:
- Objective To compare the clinical efficacy of modified penis lengthening and plastic surgery and modified Devine surgery for concealed penis.Methods From January 2018 to April 2022, 106 children with concealed penis undergoing surgery were selected as research subjects.According to surgical approaches, they were divided into two groups of modified Devine (n=51) and modified penile lengthening plus plastic surgery (n=55).The former group underwent modified Devine penile release while the latter group had modified penile extension and phalloplasty with integral detachment and fixation of superficial and deep penile fascia.Operative duration, intraoperative volume of blood loss, perioperative/follow-up penile length and postoperative overall score were compared between two groups.Results All operations were successfully completed.In modified Devine surgery and modified penile lengthening & plastic surgery groups, operative duration was (44.29±3.06) vs.(43.31±2.89) min and intraoperative volume of blood loss (6.82±1.75) vs.(6.71±1.40) mL.And no statistically significant differences existed (P>0.05);preoperative penile length was (1.06±0.70)vs.(1.25±0.70) cm, postoperative penile length (3.80±0.72) cm vs.(4.71±0.75) cm, penile increment (2.74±0.56) to (2.86±0.51) cm, penile retraction length (0.88±0.49) to (0.80±0.41) cm and final penile length (1.86±0.43) to (2.05±0.46).Among them, postoperative penile length, follow-up penile length and final increment in modified penis elongation & plastic surgery group were better than those in modified Devine group (P<0.05).The differences were not statistically significant (P>0.05).The complication scores of two groups were (3.59±0.61) versus (3.80±0.45) points, satisfaction score of penile shape (2.10±0.43) versus (2.24±0.43) points, scores of other aspects (2.41±0.50) vs.(2.56±0.59) and total scores (8.06±1.09) vs.(8.60±1.08).Complication score and total score of modified penis elongation & plastic surgery group were better than those of modified Devine group.No significant inter-group difference existed in satisfaction score of penile shape or other aspects (P>0.05).Conclusion Modified penis lengthening & plastic surgery is reliable for pediatric concealed penis.Operative procedures are simple and patients may obtain a more ideal postoperative penile length.
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备注/Memo
收稿日期:2022-07-06。
基金项目:湖南省卫生健康委科研课题（20200256）
通讯作者:郭玺,Email:393913230@qq.com