[1]唐悦,何大维,肖兴望.. 改良Devine术治疗儿童先天性埋藏阴茎的疗效分析[J].临床小儿外科杂志,2018,17(12):907-910.
　Tang Yue,He Dawei,Xiao Xingwang,et al. Efficacy of fundiform ligament dissection plus penoscrotal flap transposition for congenital buried penis in children:a modified Devine procedure.[J].Journal of Clinical Pediatric Surgery,2018,17(12):907-910.
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 改良Devine术治疗儿童先天性埋藏阴茎的疗效分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年12期 页码: 907-910 栏目: 专题讨论 出版日期: 2018-12-18
Title:
 Efficacy of fundiform ligament dissection plus penoscrotal flap transposition for congenital buried penis in children:a modified Devine procedure.
作者:
 唐悦; 何大维; 肖兴望.
 重庆医科大学附属儿童医院泌尿外科
Author(s):
 Tang Yue; He Dawei; Xiao Xingwang; Wu Shuangshuang; Liu Xing; Wei Guanghui; Lin Tao.
 Department of Urology,Affiliated Childrens Hospital,Chongqing Medical University,Chongqing 400014,China.
关键词:
 ; 阴茎;  外科手术;  治疗;  儿童
Keywords:
 ; Penis;  Surgical Procedures;  Operative; Therapy;  Child
文献标志码:
A
摘要:
 目的探讨使用浅悬韧带离断及阴茎阴囊皮瓣转移方式治疗儿童先天性埋藏阴茎（childhood congenital buried penis,CCBP）的临床效果。方法回顾性分析2006年1月至2018年8月由重庆医科大学附属儿童医院经同一手术方式治疗的88例CCBP患儿的临床资料，年龄18~174个月，中位年龄83.5个月。手术方式采用阴茎浅悬韧带离断，待阴茎完全伸直后，阴茎背侧覆盖海绵体皮肤不足，在Devine术式基础上，阴茎阴囊皮瓣转移覆盖至阴茎伸直后背侧海绵体，待阴茎根部加以固定，但是无需清除耻骨上多余的脂肪组织。结果术中发现，阴茎浅悬韧带附着于阴茎深筋膜范围超过阴茎体长度中段，术前CCBP患儿阴茎平均长度为（2.18±0.91） cm ，术后为（3.95±1.13） cm，差异有统计学意义。43例获得1年以上随访，外形满意39例，满意率占90.6%，1例出现阴囊血肿，尚存轻度埋藏2例，包皮轻度瘢痕狭窄2例。未发现有勃起疼痛或排尿异常的患儿。结论对于阴茎浅悬韧带异常附着，阴茎皮肤背侧不足等解剖因素所致CCBP，采用改良Devine术，浅悬韧带离断及阴茎阴囊皮肤背侧转移，可以弥补阴茎伸直后背侧皮肤不足，手术效果良好。
Abstract:
 ObjectiveTo explore the clinical efficacy of fundiform ligament dissection plus penoscrotal flap transposition for childhood congenital buried penis (CCBP).MethodsThe clinical data were retrospectively analyzed for 88 CCBP patients undergoing the same surgical procedure during January 2006 to August 2018.The median age was 83.5 (18-174) months.After dissecting fundiform ligament and full extension of shaft,a modified Devine procedure was utilized for transferring penoscrotal flap for dorsal skin defect.ResultsFundiform ligament was abnormally attached to deep penile fascia overlaying >1/2 of shaft.The mean pre and postoperative lengths of penile shaft were (2.18±0.91) and (3.95±1.13) cm respectively.One case of scrotal hematoma occurred.Fortythree cases were followed up for over 1 year.And 39 cases achieved a satisfactory appearance with a satisfaction rate of 90.6%.Two cases were slightly buried and mild scar stenosis occurred in 2 cases.There was no instance of erectile pain or abnormal urination.ConclusionA defect of penile dorsal skin and abnormal attachment of fundiform ligament to shaft are important anatomical features of CCBP.The above procedure is efficacious for congenital buried penis in children.

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更新日期/Last Update: 2018-12-18