经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎的疗效观察

目的探讨经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎的近期临床疗效。方法回顾分析经阴茎腹侧松解固定成形术、Devine术与Brisson术治疗小儿先天性隐匿阴茎各50例,按统一手术疗效评定标准评价分析手术疗效,并对照不同手术间的疗效差异。结果术后9d经阴茎腹侧松解固定成形术组、Devine术组与Brisson术组的有效率分别为96.00%、76.00%、88.00%,经阴茎腹侧松解固定成形术组有效率明显高于Devine术和Brisson术组(P<0.05);术后3个月经阴茎腹侧松解固定成形术组、Devine术组与Brisson术组的有效率分别为95.83%、75.61%、83.72%,经阴茎腹侧松解固定成形术组有效率明显高于Devine术和Brisson术组(P<0.05)。结论经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎具有操作简单、并发症少、术后外观满意等优点,是治疗小儿先天性隐匿阴茎的理想术式。

Curative effect of children with congenital buried penis corrected through the ventral of penis root

Objective To evaluate the short-term outcome of congenital buried penis corrected through the ventral of penis root.Methods A retrospective review were carried out in 50 patients with buried penis corrected through the ventral of penis root,50 patients with buried penis corrected through Devine procedure and 50 patients with buried penis corrected through Brisson procedure.The short-term outcome of different procedures was evaluated and compared.Results 9 d after operation,96.00% patients had satisfactory outcome corrected through the ventral of penis root,76.00% patients had satisfactory outcome corrected through Devine procedure and 88.00% patients had satisfactory outcome corrected through Brisson procedure respectively.The satisfaction rate of patients with buried penis corrected through the ventral of penis root was better than other groups(P<0.05).3 months after operation,95.83% patients had satisfactory outcome corrected through the ventral of penis root,75.61% patients had satisfactory outcome corrected through Devine procedure and 83.72% patients had satisfactory outcome corrected through Brisson procedure respectively.The satisfaction rate of patients with buried penis corrected through the ventral of penis root was better than other groups(P<0.05).Procedure through the ventral of penis root also showed less complications and more safety.Conclusion Comparing with Devine procedure or Brisson procedure,the procedure of correcting the buried penis through the ventral of penis root is a simple and effective method with good cosmetic and few complications.