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阴茎痣手术刮除术后的二期愈合。8例回顾性研究。

Secondary Intention Healing Following Surgical Shave Excision of Nevi on the Penis. A Retrospective Study of 8 Cases.

作者信息

Wen Guangdong, Hu Jian, Zhu Mengyi, Yao Xueyan, Wang Xiaojie, Mao Dandan

机构信息

Department of Dermatology, Peking University People's Hospital, Beijing, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2024 Dec 19;17:2961-2965. doi: 10.2147/CCID.S493391. eCollection 2024.

DOI:10.2147/CCID.S493391
PMID:39720091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668251/
Abstract

PURPOSE

The purpose of the study was to determine the efficacy of secondary intention healing of wounds after penile nevi surgical shave excision.

PATIENTS AND METHODS

A retrospective study in the Department of Dermatology, Peking University People's Hospital, between 2019 and 2023, on 8 patients with penile nevi was performed. Patients were treated by surgical shave excision and underwent secondary intention healing. For patients with relatively large nevi involving the glans penis, staged excisions were applied.

RESULTS

In our case series, 7 patients achieved excellent wound esthetic outcomes and 1 patient achieved a good esthetic outcome, all with no loss of sensation. During the follow-up, 2 patients experienced the recurrence of pigmented macules in situ and received a second excision, achieving satisfactory outcomes as well.

CONCLUSION

Secondary intention healing of wounds after surgical shave excision of penile nevi has satisfactory outcomes and is a simple procedure for both doctors and patients.

摘要

目的

本研究旨在确定阴茎痣手术刮除切除术后伤口二期愈合的疗效。

患者与方法

对北京大学人民医院皮肤科2019年至2023年间的8例阴茎痣患者进行了一项回顾性研究。患者接受手术刮除切除并进行二期愈合。对于累及阴茎头的较大痣患者,采用分期切除。

结果

在我们的病例系列中,7例患者伤口美学效果极佳,1例患者美学效果良好,所有患者均无感觉丧失。随访期间,2例患者原位色素斑复发并接受了二次切除,也取得了满意的结果。

结论

阴茎痣手术刮除切除术后伤口二期愈合效果满意,对医生和患者来说都是一个简单的手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/ce6b4efa1383/CCID-17-2961-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/87d2d3aa470e/CCID-17-2961-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/49c1887150a7/CCID-17-2961-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/4758477682f0/CCID-17-2961-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/ce6b4efa1383/CCID-17-2961-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/87d2d3aa470e/CCID-17-2961-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/49c1887150a7/CCID-17-2961-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/4758477682f0/CCID-17-2961-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f6/11668251/ce6b4efa1383/CCID-17-2961-g0004.jpg

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本文引用的文献

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[Diagnosis and treatment of divided nevus of the penis in children: A case report and literature review].[小儿阴茎分裂痣的诊断与治疗:一例报告及文献复习]
Zhonghua Nan Ke Xue. 2022 Sep;28(9):812-816.
2
Secondary Intention Healing of Nasal Ala and Tip Defects: A Simple and Valuable Treatment Option.鼻翼和鼻尖缺损的二期愈合:一种简单且有价值的治疗选择。
Clin Cosmet Investig Dermatol. 2022 Oct 10;15:2165-2168. doi: 10.2147/CCID.S361662. eCollection 2022.
3
Melanoma of glans penis and urethra: A case report and systematic review of the literature of a rare and complex neoplasm.
阴茎头和尿道黑色素瘤:一例病例报告及对一种罕见复杂肿瘤的文献系统综述
Urologia. 2023 Nov;90(4):766-774. doi: 10.1177/03915603211046471. Epub 2021 Sep 16.
4
Secondary Intention Healing After Mohs Surgical Excision as an Alternative to Surgical Repair: Evaluation of Wound Characteristics and Esthetic Outcomes.莫氏手术切除后二期愈合作为手术修复替代方案:伤口特征及美学效果评估
Ann Plast Surg. 2020 Jul;85(S1 Suppl 1):S28-S32. doi: 10.1097/SAP.0000000000002330.
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CO laser treatment of a kissing nevus of the penis: an alternative solution for a rare condition.
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Secondary Intention Healing and Purse-String Closures.二期愈合与荷包缝合
Dermatol Surg. 2015 Oct;41 Suppl 10:S178-86. doi: 10.1097/DSS.0000000000000480.
7
Treatment of Divided Nevus of the Penis with Circumcision and Free Inner Prepuce Grafting.包皮环切术联合游离包皮内板移植治疗阴茎分裂痣
Plast Reconstr Surg Glob Open. 2015 Jun 5;3(5):e389. doi: 10.1097/GOX.0000000000000362. eCollection 2015 May.
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Update on melanocytic nevi in children.儿童黑素细胞痣的最新进展。
Clin Dermatol. 2015 May-Jun;33(3):368-86. doi: 10.1016/j.clindermatol.2014.12.015. Epub 2014 Dec 8.
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Dermoscopic and clinical features of pigmented skin lesions of the genital area.生殖器区域色素性皮肤病变的皮肤镜及临床特征
An Bras Dermatol. 2015 Mar-Apr;90(2):178-83. doi: 10.1590/abd1806-4841.20153294.
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Genital melanocytic nevi in children: Experience in a pediatric dermatology practice.儿童生殖器黑素细胞痣:儿科皮肤科实践经验。
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