改良Devine術(shù)聯(lián)合陰囊皮瓣推移術(shù)與傳統(tǒng)Devine術(shù)治療兒童隱匿性陰莖的臨床療效比較

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A comparative study on the clinical efficacy of modified Devine surgery combined with scrotal flap transfer and traditional Devine surgery in the treatment of concealed penis in children

ZHAO Jiayu NIE Huan GAO Qiangli 2

ABSTRACT：Objective To analyze the clinical efficacy of modified Devine surgery combined with scrotal flap transfer in the treatment of concealed penis （CP） in children and provide reference for the surgical treatment of CP in children. Methods The clinical data of 54 CP children who underwent surgery in the Department of Urology，Puren Hospital Affiliated to Wuhan University of Science and Technology during Jun.2019 and Sep.2022 were retrospectively analyzed，including 27 patients treated with traditional Devine surgery （control group），and 27 patients in the modified group treated with modified Devine surgery combined with scrotal flap transfer （double degloving）. The perioperative indexes，incidence of postoperative complications，penile lengthening and satisfaction of postoperative appearance were recorded. Results The surgical time of the modified group was longer than the control group [（62.78±5.07） min vs. （55.93±4.83） min ]（t=5.08 P＜0.05）. The exposed length and penile lengthening length with moderate and severe CP patients in the modified group at 1 and 6 months after surgery were higher than those in the control group

（P＜0.05）.The duration of prepuce edema，and the satisfaction of family members of moderate and severe CP children were （6.93±1.54）d vs. （5.56±1.16）d，（2.44±0.62） vs. （2.83±0.38），and （2.44±0.73） vs. （3.00±0） between the control and modified groups （P＜0.05）. There were no statistically significant difference in intraoperative bleeding volume and incidence of complications between the two groups （P＞0.05）. Conclusion In the treatment of CP，modified Devine surgery combined with scrotal flap transfer can produce good effects and appearance，which is of high application value.

KEY WORDS：concealed penis；modified Devine surgery；scrotal flap transfer；traditional Devine surgery

摘要：目的 比較改良Devine術(shù)聯(lián)合陰囊皮瓣推移術(shù)與傳統(tǒng)Devine術(shù)治療兒童隱匿性陰莖（CP）的臨床療效，為兒童CP的手術(shù)治療提供參考。（剩余8033字）