气囊导管扩张术治疗小儿包茎临床效果分析

Clinical effect of balloon catheter dilation on phimosis in children

目的探讨气囊导管扩张术治疗小儿包茎的效果。方法回顾性分析2014年3月至2017年3月解放军第306医院收治的采用气囊导管扩张术治疗的包茎患儿2 468例,分析患儿一般情况、治疗结果及随访结果。结果所有患儿中<2岁者254例(10.3%)、2～<4岁者376例(15.2%)、4～<7岁者898例(36.4%)、7～<11岁者585例(23.7%)、11～<15岁者355例(14.4%)。将所有患儿分为5种类型,分别为针孔样包茎507例(20.5%)、包茎合并粘连1 038例(42.1%)、包茎合并瘢痕挛缩228例(9.2%)、包茎合并龟头炎305例(12.4%)、包茎合并包皮过长390例(15.8%)。所有患儿中1次扩张成功者2 456例(99.5%),2次或2次以上扩张成功者12例(0.5%)。2 456例患儿在治疗后1～2周内达到治愈标准,治愈率为99.5%。所有患儿随访1～3年,无包皮过长、小阴茎等发生。结论气囊导管扩张术治疗各种类型小儿包茎均简单有效。

Objective To explore the clinical effect of balloon catheter dilation on phimosis in children. Methods Totally 2 468 phimosis children who had balloon catheter dilation from March 2014 to March 2017 in the 306th Hospital of the Chinese People′s Liberation Army were enrolled. Clinical data and outcomes were analyzed. Results There were 254 cases（10.3%） of ＜2 years old, 376 cases（15.2%） of 2-＜4 years old, 898 cases（36.4%） of 4-＜7 years old, 585 cases（23.7%） of 7-＜11 years old and 355 cases（14.4%） of 11-＜15 years old. Types of disease included 507 cases（20.5%） of pinhole phimosis, 1 038 cases（42.1%） of adherent prepuce, 228 cases（9.2%） of scar contracture, 305 cases（12.4%） of balanitis and 390 cases（15.8%） of redundant prepuce. After operation, 2 456 children（99.5%） were cured and recovered well in 1-2 weeks; 12 children（0.5%） had a second or third time of balloon catheter dilation. No redundant prepuce or little penis were found during 1-2 years of follow-up in all children. Conclusion Balloon catheter dilation is effective in treatment of phimosis in children.