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目的探讨带蒂岛状包皮内板阴茎成形术治疗先天性重型蹼状阴茎的疗效。方法 2011年5月-2015年5月,采用带蒂岛状包皮内板阴茎成形术矫治23例先天性重型蹼状阴茎。患儿年龄2岁8个月~8岁3个月,平均4岁8个月。根据El-Koutby&El Gohary分类法,单纯型蹼状阴茎3级14例;复合型蹼状阴茎9例,其中1型2例、2型2例、3型5例。阴茎长度2.1~5.4 cm,平均3.4 cm;阴茎阴囊角130~160°,平均144°。龟头均不能外露。患儿无其他泌尿系统疾病,无阴茎手术史。结果手术均顺利完成。术后即刻测量阴茎长度3.6~6.4 cm,平均4.7 cm;阴茎阴囊角90~110°,平均97°。阴茎、阴囊皮肤分界清晰,阴茎腹侧无蹼状皮肤、阴囊皮肤遗留。切口Ⅰ期愈合。患儿均获随访,随访时间12~41个月,平均25个月。无继发性阴茎下曲,阴茎头感觉无异常、阴茎阴囊角正常,排尿正常。结论带蒂岛状包皮内板阴茎成形术治疗先天性重型蹼状阴茎,术后阴茎外形良好,切口规整,有效避免了阴茎水肿时间长和阴茎继发下曲等并发症的发生。
Objective To investigate the efficacy of pedicled island-shaped foreskin penisplasty in the treatment of congenital heavy webbed penis. Methods From May 2011 to May 2015, 23 cases of congenital heavy webbed penis were treated with pedicled island-shaped prepuce. Children aged 2 years 8 months to 8 years 3 months, an average of 4 years and 8 months. According to the El-Koutby & El Gohary classification, simple webbed penis was grade 3 in 14 cases; composite webbed penis in 9 cases, including type 1 in 2 cases, type 2 in 2 cases and type 3 in 5 cases. Penis length 2.1 ~ 5.4 cm, an average of 3.4 cm; penis scrotum angle 130 ~ 160 °, an average of 144 °. Glans can not be exposed. Children without other urological diseases, no history of penile surgery. Results The operation was completed successfully. Immediately after the measurement of penile length 3.6 ~ 6.4 cm, an average of 4.7 cm; penis scrotal angle 90 ~ 110 °, an average of 97 °. Penis, scrotal skin demarcation is clear, no ventral webbed skin penis, scrotal skin left. Incision incision healing. Children were followed up for 12 to 41 months, an average of 25 months. No secondary penile curvature, no abnormalities in the penis head, normal penis scrotal angle, normal urination. Conclusions The penis-shaped island flap prepuce for the treatment of congenital heavy webbed penile penis, postoperative penis shape good, regular incision, which effectively avoid the penis edema and the penis inferior bowel complications such as the occurrence.