再谈隐匿阴茎的分型及手术方法(附122例报告)  

A further Discussion about the Classification and Surgical Management of Concealed Penis ( 122 cases report)

作　　者：孙旭[1] 李容炳[1] 周览[1] 王学雷[1] 温机灵[1] 温晓飞[1] 

机构地区：[1]同济大学附属东方医院泌尿外科,上海200120

出　　处：《外科研究与新技术》2013年第2期110-112,共3页Surgical Research and New Technique

摘　　要：目的根据隐匿阴茎的不同分型,选择合适的手术方法。方法我科1998年3月至2012年6月共收治122例隐匿阴茎,根据不同的病理改变,将其分为索带型、包茎型、小皮套型、肥胖型4种类型。索带型以纤维索带松解、切除为主;包茎型以解除包皮口狭窄为主,并用"Y-V"成形术弥补阴茎体皮肤不足;小皮套型需做背、腹侧"Y-V"成形术;肥胖型程度轻者可予以观察,需要手术者将阴茎皮肤固定于阴茎根部的阴茎体两侧白膜上,并切除耻骨前过多的脂肪组织。结果术后所有病例阴茎均获得良好显露。结论对隐匿阴茎进行合理分型,便于选择有效的手术方法。Objective To select an appropriate surgical procedure according to the different classification of concealed penis. Methods 122 patients with concealed penis underwent surgical treatment in our hospital from Mar. 1998 to Jun. 2012 were reviewed and analyzed. According to different pathological change of concealed penis,122 patients were classified into four types,phimosis type,fascia bands type,micropenile skin sleeve type and obesity type. Different surgical methods were reviewed respectively for their different classification. The phimosis type patients were mainly treated by relaxing the narrow prepuce ring,and penile dorsal Y-V plasty for inadequate penile skin. The fascia bands type patients by removing the dysgenic dartos fascia bands,the micropenile skin sleeve type patients by penile dorsal and ventral Y-V plasty and the serious obesity type patients by fixing the penile skin onto the lateral Buck’s fascia at the base of the penis. Results All patients with concealed penis were improved in appearance and accessibility after corresponding surgery. Conclusion The classification of the concealed penis patients is helpful to clinical diagnosis and surgical treatment selection.

关 键 词：隐匿阴茎 分型 手术 

分 类 号：R699.8[医药卫生—泌尿科学]