摘要
目的探讨利用阴囊皮瓣矫治小儿隐匿阴茎的疗效。方法于阴茎腹侧纵行切开狭窄环，距冠状沟约0．5cm环状切开包皮内板，将包皮脱套至阴茎根部。完全切除异常附着筋膜，裁剪包皮包绕冠状沟。于阴茎阴囊交界处向阴囊两侧切开，将两侧阴囊皮瓣上移覆盖阴茎根部。缝合包皮，重建阴茎阴囊角，阴囊成形。结果2009年3月至2011年7月采用阴囊皮瓣矫治隐匿阴茎患儿24例，术后尿道外口粘连2例，经尿道扩张后排尿正常；包皮远端轻度坏死1例，经门诊换药2周后好转，余21例手术效果良好。随访6个月至2年，所有患儿均未发现阴茎回缩，阴茎外观塑形良好，勃起时无侧弯、旋转。结论应用阴囊皮瓣矫治小儿隐匿阴茎可最大程度地显露阴茎，塑形效果良好，并发症较少，是一种较为理想的手术方法。
Objective To investigate the therapeutic effect of penoplasty with scrotal skin flap for the treatment of burid penis in children. Methods The narrow ring was cutted vertically at the ventral side of penis and the prepuce inner plate was circularly eutted 0.5 em from the coronary sulcus. The prepuce was degloved to the base of penis. The abnormal aponeurosis was removed completely. The prepuce was designed to cover the coronary sulcus. The scrotal flaps at both sides were formed and advanced to cover the penile base. Then the prepuce was sutured to reconstruct penile-scrotal angle and scrotum plasty was completed. Results From March 2009 to July 2011, 24 children with buried penis were treated with serotal flaps. Adhesion at external orifice of urethra was happened in two cases which recovered after urethra expansion. There was one case of necrosis at the distal end of prepuce. All the cases were followed up for 6 months to 2 years with no penile shrinkage. The penile appearance was good without rotation or lateral curvature during erection. Conclusions The buried penis can be best corrected with serotal flap. It is an ideal method with less complication
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2012年第4期260-263,共4页
Chinese Journal of Plastic Surgery
