内外板单瓣嵌插术与改良Brisson术治疗隐匿型阴茎的临床疗效及安全性

目的:探究内外板单瓣嵌插术与改良Brisson术治疗隐匿性阴茎的临床疗效及安全性。方法:选择2016年1月至2019年1月于我院接受治疗的176例隐匿性阴茎患儿为研究对象,按照随机数字表法将其均分为实验组与对照组(每组各88例患儿)。对照组患儿接受常规内外板单瓣嵌插术治疗,实验组患儿接受改良Brisson术进行治疗,对比两组患儿的手术时间、治疗前后生活质量评分、术后阴茎伸长长度及各类并发症的发生率,并对两组患儿实施为期3个月的随访,对比两组患儿家长对治疗的满意度。结果:(1)实验组患儿手术时间选择短于对照组,阴茎伸长长度明显大于对照组(P<0.05);(2)实验组患儿术后并发症发生率显著低于对照组患儿(P<0.05);(3)实验组患儿术后各维度评分均高于对照组(P<0.05);(4)术后随访显示,实验组患儿家长对治疗满意度显著高于对照组患儿家长(P<0.05)。结论:相比于内外板单瓣嵌插术,改良Brisson术治疗隐匿性阴茎的临床效果和安全性均更优,且远期随访满意度较高。

Clinical Efficacy and Safety of Embedding Sutures of Single Inner- and Outer-prepuce Flap and Modified Brisson's Procedure in the Treatment of Concealed Penis

ABSTRACT Objective: To explore the clinical efficacy and safety of embedding sutures of single inner- and outer-prepuce flap and Modified Brisson on the treatment of occult penis. Methods: 176 children with occult peniles who were treated in our hospital from January 2016 to January 2019 were enrolled in the study. They were divided into the experimental group and the control group according to random number table (88 cases in each group). Children in the control group received Embedding sutures of single inner- and outer-prepuce flap, and the experimental group received Modified Brisson. The operation time, the quality of life score before and after treatment, postoperative penile elongation length and occurrence rate of various complications were compared between the two groups. And the two groups of children were followed up for 3 months, and the satisfaction of the parents of the two groups was compared. Results: (1) The choice of operation time of the experimental group was shorter than that of the control group, and the length of penile elongation was significantly greater than that of the control group (P<0.05). (2) The incidence of postoperative complications in the experimental group was significantly lower than that of the control group(P<0.05). (3) The postoperative scores of the children in the experimental group were higher than those in the control group (P<0.05). (4) Postoperative follow-up showed that the parents in the experimental group were more satisfied with the treatment than the parents of the control group(P<0.05). Conclusion: Compared with the Embedding sutures of single inner- and outer-prepuce flap, the Modified Brisson technique for the treatment of concealed penis has better clinical efficacy and safety, and higher satisfaction with long-term follow-up.