罗逢桢 刘立新

[摘要]目的 探讨改良Devine术联合背侧包皮皮瓣翻转转移术治疗重度隐匿性阴茎的临床效果。方法 选取2018年9月～2019年7月我院收治的64例重度隐匿性阴茎患儿作为研究对象，运用随机数字表法将其分为对照组与试验组，每组各32例。对照组患儿予以背侧包皮皮瓣翻转转移术治疗方式，试验组患儿予以改良Devine术+背侧包皮皮瓣翻转转移术治疗，观察患儿手术时间、术后3个月阴茎长度、皮瓣成活情况、阴茎外观满意度等情况。结果 经过统计可知，试验组患儿的手术时间长于对照组，术后3个月的阴茎长度长于对照组，皮瓣成活率高于对照组，总满意度高于对照组，差异有统计学意义（P<0.05）。结论 改良Devine术联合背侧包皮皮瓣翻转转移术治疗重度隐匿性阴茎具有显著效果，不仅能够延长阴茎长度，提升皮瓣成活率，同时能够使患儿获得良好的阴茎外观满意度。

[关键词]改良Devine术;背侧包皮皮瓣翻转转移术;重度隐匿性阴茎;阴茎长度;阴茎外观

[中图分类号] R726.9          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0095-03

Clinical effect of modified Devine surgery combined with dorsal foreskin skin flap turnover transvers treating severe concealed penis

LUO Feng-zhen   LIU Li-xin

Department of Urology， People′s Hospital in Yudu County of Ganzhou City， Jiangxi Province， Yudu   342300， China

[Abstract] Objective To explore the clinical effect of modified Devine surgery combined with dorsal foreskin skin flap turnover transvers treating severe concealed penis. Methods A total of 64 cases of severe concealed penis children admitted to our hospital from September 2018 to July 2019 were selected as the research objects. They were divided into control group and test group by random number table method， with 32 cases in each group. In the control group， only dorsal foreskin skin flap turnover transvers was used. In the test group， modified Devine surgery+dorsal foreskin skin flap turnover transvers was provided. The surgery time， penis length 3 months after surgery， flap survival， and penis appearance satisfaction were observed. Results According to statistics， the surgery time of the test group was longer than that of the control group， the penis length 3 months after the surgery was longer than that of the control group， and the total satisfaction was higher than that of the control group， the differences were statistically significant （P<0.05）. Conclusion Modified Devine surgery combined with dorsal foreskin skin flap turnover transvers has a remarkable effect on treating severe concealed penis. It can not only extend the length of the penis and increase the survival rate of the flap， but also can obtain good penis appearance satisfaction from children.

[Key words] Modified Devine surgery; Dorsal foreskin skin flap turnover transvers; Severe concealed penis; Penis length; Penis appearance

隱匿性阴茎是一种常见的先天发育异常与畸形性疾病，临床又称之为埋藏式阴茎[1]，会对患儿造成较为严重的影响，需要予以及时有效的治疗，在目前的临床治疗中，医生多使用手术方式进行治疗[2]。然而由于缺少治疗技术，以往仅能够使用常规的背侧包皮皮瓣翻转转移术治疗，但临床实践证明，常规方式由于无法从根本上缓解不良症状，因而无法获得良好的治疗效果[3];近年来伴随着手术治疗技术的不断提升，临床多使用改良Devine术+背侧包皮皮瓣翻转转移术进行治疗，能够获得良好的效果[4]。本研究探讨改良Devine术+背侧包皮皮瓣翻转转移术治疗重度隐匿性阴茎的效果，以便能够将其更加广泛地推广至临床治疗中，使患儿远离该疾病的困扰，恢复健康状态，现报道如下。……