CAJ | 학술논문

目的探讨利用阴囊皮瓣矫治小儿隐匿阴茎的疗效.方法于阴茎腹侧纵行切开狭窄环,距冠状沟约0.5 cm环状切开包皮内板,将包皮脱套至阴茎根部.完全切除异常附着筋膜,裁剪包皮包绕冠状沟.于阴茎阴囊交界处向阴囊两侧切开,将两侧阴囊皮瓣上移覆盖阴茎根部.缝合包皮,重建阴茎阴囊角,阴囊成形.结果 2009年3月至2011年7月采用阴囊皮瓣矫治隐匿阴茎患儿24例,术后尿道外口粘连2例,经尿道扩张后排尿正常；包皮远端轻度坏死1例,经门诊换药2周后好转,余21例手术效果良好.随访6个月至2年,所有患儿均未发现阴茎回缩,阴茎外观塑形良好,勃起时无侧弯、旋转.结论应用阴囊皮瓣矫治小儿隐匿阴茎可最大程度地显露阴茎,塑形效果良好,并发症较少,是一种较为理想的手术方法.
목적 탐토이용음낭피판교치소인은닉음경적료효.방법 우음경복측종행절개협착배,거관상구약0.5 cm배상절개포피내판,장포피탈투지음경근부.완전절제이상부착근막,재전포피포요관상구.우음경음낭교계처향음낭량측절개,장량측음낭피판상이복개음경근부.봉합포피,중건음경음낭각,음낭성형.결과 2009년3월지2011년7월채용음낭피판교치은닉음경환인24례,술후뇨도외구점련2례,경뇨도확장후배뇨정상；포피원단경도배사1례,경문진환약2주후호전,여21례수술효과량호.수방6개월지2년,소유환인균미발현음경회축,음경외관소형량호,발기시무측만、선전.결론 응용음낭피판교치소인은닉음경가최대정도지현로음경,소형효과량호,병발증교소,시일충교위이상적수술방법.
Objective To investigate the therapeutic effect of penoplasty with scrotal skin flap for the treatment of burid penis in children.Methods The narrow ring was cutted vertically at the ventral side of penis and the prepuce inner plate was circularly cutted 0.5 cm from the coronary sulcus.The prepuce was degloved to the base of penis.The abnormal aponeurosis was removed completely.The prepuce was designed to cover the coronary sulcus.The scrotal flaps at both sides were formed and advanced to cover the penile base.Then the prepuce was sutured to reconstruct penile-scrotal angle and scrotum plasty was completed.Results From March 2009 to July 2011,24 children with buried penis were treated with scrotal flaps.Adhesion at external orifice of urethra was happened in two cases which recovered after urethra expansion.There was one case of necrosis at the distal end of prepuce.All the cases were followed up for 6 months to 2 years with no penile shrinkage.The penile appearance was good without rotation or lateral curvature during erection.Conclusions The buried penis can be best corrected with scrotal flap.It is an ideal method with less complication