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目的:总结小儿包皮外伤的个性化治疗经验。方法:回顾性分析2019年1月至2021年3月郑州大学第一附属医院小儿外科收治的包皮外伤患儿的临床资料。治疗前首先对小儿包皮外伤进行分类和分度，在患儿家长知情同意的情况下据此选择治疗方案。轻度损伤采取保守治疗；中度损伤行原位缝合修复术、系带成形术；重度损伤行改良包皮环切术、包皮皮瓣阴茎包皮成形术；极重度损伤行复合皮瓣（阴囊及阴阜皮肤局部推进皮瓣联合包皮皮瓣）包皮成形术。术后对患儿阴茎外观及排尿和勃起功能进行随访。结果:共纳入36例男性患儿，年龄6个月至10岁。包皮损伤类型：包皮系带损伤7例，内板损伤7例，外板损伤12例，内外板复合损伤10例；包皮损伤程度：轻度损伤9例，中度损伤6例，重度损伤19例，极重度损伤2例。36例中保守治疗9例，原位缝合修复术4例，原位缝合修复术+包皮环切术5例，改良包皮环切术12例，包皮皮瓣阴茎包皮成形术4例，复合皮瓣（阴囊及阴阜皮肤局部推进皮瓣+包皮皮瓣）包皮成形术2例。所有患儿均随访3~ 6个月，阴茎阴囊外形良好，排尿、勃起功能正常，患儿家长对治疗效果均满意。结论:对于小儿包皮外伤的治疗，需综合考虑外伤累及的包皮部位及包皮损伤的程度，采取合适的个性化治疗方案，可以获得较好的效果。“,”Objective:To summarize the experience of personalized treatment of pediatric prepuce trauma.Methods:The clinical data of children with prepuce trauma treated in the Department of Pediatric Surgery of the First Affiliated Hospital of Zhengzhou University from January 2019 to March 2021 were analyzed retrospectively. Pediatric prepuce trauma was first classified and graded before treatment, and treatment plans were selected accordingly with the informed consent of the parents of the children. Mild injuries ware treated conservatively. In moderate injuries, in situ suture repair and phalloplasty were performed. In severe injuries, modified circumcision and phalloplasty were performed. In very severe injuries, composite flap (scrotal and mons pubis skin advancement flap combined with phalloplasty ) phalloplasty was performed. Postoperatively, the children were followed up for penile appearance and urinary and erectile function.Results:A total of 36 male children, aged 6 months to 10 years, were included in the study. Type of foreskin trauma: 7 cases of foreskin tie injury, 7 cases of inner plate injury, 12 cases of outer plate injury, and 10 cases of combined inner and outer plate injury; degree of foreskin trauma: 9 cases of mild injury, 6 cases of moderate injury, 19 cases of severe injury, and 2 cases of very severe injury. 9 of the 36 cases were treated conservatively; 4 cases were treated with in situ suture repair; 5 cases were treated with in situ suture repair + circumcision; 12 cases were treated with modified circumcision; 4 cases were treated with foreskin flap penile circumcision, and composite flap (scrotal and mons pubis skin local advancement flap + foreskin flap) was applied in 2 cases. All the children were followed up for 3~6 months. The children treated with conservative treatment and surgery had good penile scrotal shape, normal urination and erectile function after treatment, and the parents of the children were satisfied with the treatment result .Conclusions:For the treatment of pediatric prepuce trauma, it is necessary to comprehensively consider the location of the prepuce involved and the degree of prepuce injury, and adopt an appropriate personalized treatment plan, which can achieve better result .