大理大学学报 ›› 2020, Vol. 5 ›› Issue (2): 9-11.DOI: 10. 3969 / j. issn. 2096-2266. 2020. 02. 003

• 中华医学会2019年小儿外科西部行专栏 • 上一篇    下一篇

阴茎根部切口在儿童隐匿性阴茎矫治术中的应用

吕庆尚   

  1. (曲靖市第一人民医院,云南曲靖 655000)
  • 收稿日期:2019-04-01 修回日期:2019-09-10 出版日期:2020-02-15 发布日期:2020-02-15
  • 作者简介:吕庆尚,副主任医师,主要从事小儿外科研究。

Application of Penis Root Incision in Buried Penile Correction in Children

Lü Qingshang   

  1. (The First People′s Hospital of Qujing City, Qujing, Yunnan 655000, China)
  • Received:2019-04-01 Revised:2019-09-10 Online:2020-02-15 Published:2020-02-15

摘要: 目的:分析阴茎根部切口在儿童隐匿性阴茎矫治术中的应用效果。方法:研究阶段为2016年7月至2018年7月,共纳
入研究对象72例,均为接受隐匿性阴茎手术的患儿,根据随机数字表法进行分组,单数者分入观察组(n=36),尾数双数者分入
对照组(n=36),观察组采用阴茎根部切口手术,对照组采用脱套固定手术,比较两组临床效果。结果:观察组手术时间和住院
时间均短于对照组,术中出血量也少于对照组,差异有统计学意义(P<0.05)。术后12、24 h NRS疼痛评分,观察组均低于对照
组,差异有统计学意义(P<0.05)。结论:针对隐匿性阴茎患儿采用阴茎根部切口可获得满意疗效,术后疼痛轻,住院时间短,是
可供选择的手术路径。

关键词: 隐匿性阴茎, 阴茎根部切口, 儿童

Abstract: Objective: To analyze the effect of penis root incision in children′s buried penile correction. Methods: From July 2016 to
July 2018, 72 cases were studied, all of which were children undergoing buried penile surgeries. They were grouped according to the
random number table method. Those of odd numbers were divided into the observation group(n=36), and those of even numbers were
divided into the control group(n=36). The observation group was operated by penile root incision, the control group underwent deglove
and fixation, and the clinical effects of the two groups were compared. Results: The operative time and hospital stay in the observation
group were shorter than those in the control group, and the intraoperative blood loss was also less than that in the control group. The
difference was statistically significant(P<0.05). Postoperative NRS pain scores at 12 and 24 h were lower in the observation group
than in the control group, and the difference was statistically significant(P<0.05). Conclusion: For children with buried penis, the
incision at the base of penis can achieve satisfactory results, with less postoperative pain and shorter hospital stay. It is an alternative
surgical method.

Key words: buried penis, penis root incision, children