连续对偶三角皮瓣成形术治疗蹼状阴茎的效果分析

Clinical effect of continuous pair triangular flap plasty on webbed penis

目的探讨连续对偶三角皮瓣成形术治疗蹼状阴茎的安全性和疗效。方法回顾性分析2020年11月至2021年1月天津市宝坻区人民医院采用连续对偶三角皮瓣成形术治疗的5例蹼状阴茎患者的临床资料。年龄18.2(15~24)岁。查体见阴茎腹侧皮肤与阴囊皮肤融合,提起阴茎后可见阴茎与阴囊之间呈蹼状,阴茎阴囊角异常,阴茎勃起受限。本组5例中,阴茎阴囊皮肤融合均达到或超过阴茎腹侧中部。5例均无其他阴茎畸形。以阴茎腹侧中线、阴茎阴囊交界处为原点,在其上下各做一"Z"形切口,分别形成大小形状相同、方向相反的两块三角形皮瓣,后将这两块三角形皮瓣互换位置进行缝合。记录手术情况及术后疗效。结果5例手术时间13(10~20)min;术中出血量1.6(1~3)ml。术后伤口均愈合良好,无手术并发症发生。术后3个月,患者对阴茎外观均满意,阴茎勃起不受限。结论连续对偶三角皮瓣成形术治疗蹼状阴茎,具有操作简便、手术效果好、术后并发症少等优点,是治疗蹼状阴茎的一种较好的选择。

Objective To explore the safety and efficacy of continuous pair triangular flap plasty in the treatment of webbed penis.Methods The clinical data of 5 patients with webbed penis treated by continuous pair triangular flap plasty in Tianjin Baodi Hospital from November 2020 to January 2021 were retrospectively analyzed.The average age was 18.2(15-24)years old.Physical examination showed a webbed fusion between the ventral skin of the penis and the scrotal skin,the penoscrotal angle disappeared and penile erection was limited.The web extended to or exceeded the middle of the penis in the 5 cases.None of the 5 patients had other penile malformations.Taking the ventral midline of the penis and the junction of the penis and scrotum as the origin,a"Z-shaped"incision was made above and below it respectively,and two triangular flaps with the same size and shape but opposite direction were formed respectively.Then the triangular flaps were switched and sutured.Results The average operation time of five patients was 13(10-20)minutes.The operative average blood loss was 1.6(1-3)ml.All patients had good wound healing and no surgical complications.Three months after operation,the appearance of the penis was satisfactory and erection was unrestricted.Conclusions Continuous pair triangular flap plasty overcomes the disadvantages of traditional operation,and has the advantages of simple operation,good operation results and few complications.It is a good choice for the treatment of webbed penis.