[阴茎上提转移法治疗小儿阴茎阴囊转位的疗效]

[Effectiveness of penis up transfer method for penoscrotal transposition in children].

作者信息

Wu Yonglong, Hu Yang, Wang Shoufu, Xu Bo, Xu Yanbo, Chen Haichen

机构信息

Department of Pediatric Surgery, Affiliated Women and Children's Hospital, Xiamen University, Xiamen Fujian, 361003, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 Jun 15;36(6):776-780. doi: 10.7507/1002-1892.202201010.

DOI:10.7507/1002-1892.202201010

PMID:35712938

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9240851/

Abstract

OBJECTIVE

To investigate the effectiveness of penile up transfer method in the treatment of penoscrotal transposition (PST) in children.

METHODS

A clinical data of 46 children with PST admitted between January 2015 and March 2021 and met selective criteria was retrospectively analyzed. The M-shaped scrotal flap method was adopted in 21 cases (group A), and the penile up transfer method was adopted in 25 cases (group B). There was no significant difference in age and PST typing between the two groups ( =0.491, =0.626; =0.710, =0.790). The operation time and postoperative complications of the two groups were recorded and compared, and the correction effect of PST was evaluated.

RESULTS

All operations were successfully completed, and no urethral injury occurred during operation. The operation time was significantly less in group B than in group A [(70.36±9.76) minutes . (96.62±13.18) minutes; =7.553, =0.000]. All children were followed up 6-33 months (mean, 13.2 months). There were 5 cases (23.8%) of skin necrosis and 6 cases (28.6%) of scar hyperplasia in group A, and 1 case (4.0%) of skin necrosis and 1 case (4.0%) of scar hyperplasia in group B. The incidence of complication was significantly lower in group B than in group A ( =3.949, =0.047; =5.341, =0.021). In the evaluation of PST correction at 6 months after operation, there were 15 cases of complete correction and 6 cases of incomplete correction in group A, 24 cases of complete correction and 1 case of incomplete correction in group B, and the difference was significant ( =5.341, =0.021).

CONCLUSION

The penis up transfer method is not only easy to correct PST, but also can correct scrotal separation at the same time, with fewer postoperative complications and satisfactory correction effect of penile scrotal appearance.

摘要

目的

探讨阴茎上移法治疗小儿阴茎阴囊转位（PST）的有效性。

方法

回顾性分析2015年1月至2021年3月收治的46例符合入选标准的小儿PST临床资料。21例采用M形阴囊皮瓣法（A组），25例采用阴茎上移法（B组）。两组年龄及PST分型差异无统计学意义（P =0.491，P =0.626；P =0.710，P =0.790）。记录并比较两组手术时间及术后并发症情况，评估PST矫治效果。

结果

所有手术均顺利完成，术中无尿道损伤发生。B组手术时间明显短于A组[（70.36±9.76）分钟对（96.62±13.18）分钟；P =7.553，P =0.000]。所有患儿随访6～33个月（平均13.2个月）。A组皮肤坏死5例（23.8%），瘢痕增生6例（28.6%）；B组皮肤坏死1例（4.0%），瘢痕增生1例（4.0%）。B组并发症发生率明显低于A组（P =3.949，P =0.047；P =5.341，P =0.021）。术后6个月PST矫治评估，A组完全矫治15例，不完全矫治6例；B组完全矫治24例，不完全矫治1例，差异有统计学意义（P =5.341，P =0.021）。