摘要
目的:探讨改良Devine术联合系带重建治疗小儿隐匿性阴茎的效果。方法:选择笔者所在科室2015年1月-2018年12月收治的50例小儿隐匿性阴茎患者作为研究对象。将所选患者按数字表法随机分为两组,每组25例。观察组采用改良Devine术联合系带重建治疗,对照组采用改良Shiraki术治疗,比较两组疗效、手术时间、术中出血量、术后阴茎长度、并发症发生率及患儿家属满意度情况。结果:两组均顺利完成手术,无血管神经损伤,伤口愈合良好,未出现勃起功能异常。两组总有效率、手术时间、术后阴茎长度及并发症发生率比较差异无统计学意义(P>0.05);观察组术中出血量少于对照组,家属满意度优于对照组,差异有统计学意义(P<0.05)。结论:改良Devine术联合系带重建及Shiraki术治疗小儿隐匿性阴茎效果相当,但其具有术中出血量少、患儿家属满意度高的优势,是一种可行的手术方式。
Objective:To explore the effect of improved Devine combined with reconstruction of frenulum in treatment of concealed penis in children.Method:A total of 50 children with concealed penis in our department from January 2015 to December 2018 were selected as the research objects.The children were divided into two groups,with 25 patients in each group.Patients in the observation group were treated with improved Devine combined with reconstruction of frenulum,while children in the control group were treated with improved Shiraki.The treatment effect,operation time,intraoperative blood loss,postoperative penile length,the incidence rate of complications and the satisfaction situation of the two groups were compared.Result:The surgery of the two groups was completed successfully.There was no blood vessels and nerve damage.The wound healing was good.Patients in the two groups did not appear erectile dysfunction.There was no significant difference in total effective rate,operative time,postoperative penis length and complication rate(P>0.05).The amount of blood loss in the observation group was less than that in the control group,and the satisfaction of family members was better than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of modified Devine combined with band reconstruction and Shiraki in the treatment of occult penis in children is the same.However,it has the advantages of less intraoperative bleeding and high satisfaction with the family members of the children,so it is a feasible surgical method.
作者
谭卓宏
TAN Zhuohong(Jingzhou Maternal and Child Care Hospital,Jingzhou 434020,China)
出处
《中外医学研究》
2019年第35期154-156,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
