阴茎根部切口在儿童隐匿性阴茎矫治术中的应用

Application of Penis Root Incision in Buried Penile Correction in Children

目的:分析阴茎根部切口在儿童隐匿性阴茎矫治术中的应用效果。方法:研究阶段为2016年7月至2018年7月,共纳入研究对象72例,均为接受隐匿性阴茎手术的患儿,根据随机数字表法进行分组,单数者分入观察组(n=36),尾数双数者分入对照组(n=36),观察组采用阴茎根部切口手术,对照组采用脱套固定手术,比较两组临床效果。结果:观察组手术时间和住院时间均短于对照组,术中出血量也少于对照组,差异有统计学意义(P<0.05)。术后12、24 h NRS疼痛评分,观察组均低于对照组,差异有统计学意义(P<0.05)。结论:针对隐匿性阴茎患儿采用阴茎根部切口可获得满意疗效,术后疼痛轻,住院时间短,是可供选择的手术路径。

Objective:To analyze the effect of penis root incision in children’s buried penile correction.Methods:From July 2016 to July 2018,72 cases were studied,all of which were children undergoing buried penile surgeries.They were grouped according to the random number table method.Those of odd numbers were divided into the observation group(n=36),and those of even numbers were divided into the control group(n=36).The observation group was operated by penile root incision,the control group underwent deglove and fixation,and the clinical effects of the two groups were compared.Results:The operative time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss was also less than that in the control group.The difference was statistically significant(P<0.05).Postoperative NRS pain scores at 12 and 24 h were lower in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusion:For children with buried penis,the incision at the base of penis can achieve satisfactory results,with less postoperative pain and shorter hospital stay.It is an alternative surgical method.