肥胖者伴发隐匿阴茎的处理原则  

Treatment of concealed penis in obese patients

作　　者：顿金庚[1] 陈湘[1] 王桂林[1] 范本祎[1] 陈智勇[1] 高宁[1] 齐琳[1] 

机构地区：[1]中南大学湘雅医院泌尿外科,湖南长沙410008

出　　处：《中国现代医学杂志》2005年第18期2819-2820,2822,共3页China Journal of Modern Medicine

摘　　要：目的探讨肥胖者伴隐匿阴茎的合适手术治疗方法。方法对40例不同类型肥胖者伴发隐匿阴茎病人采用不同的处理方法,单纯型:减肥观察或包皮“Y-V”成型;包茎型:切开包皮外板2、6和10点,内板4、8和12点,嵌插缝合;纤维索带型:切除松解阴茎背侧挛缩的筋膜,上移阴茎阴囊交界部行“Y-V”成型术;蹼状阴茎:作阴茎阴囊交界部腹侧横切纵缝。结果所有病例术后阴茎体显露十分满意。结论对肥胖者伴隐匿阴茎正确的分型有助于选择合理的手术方式。[Objective] To explore the appropriate surgical treatment of concealed penis in obese patients. [Methods] Different operation were selected in 40 patients according the type of concealed penis. Simple concealed penis：weight reduction and observation or Y-Vplasty of acrobystia. Phimosis type： slitting the outer plate of prepuce at 2, 6 and 10 clock point and at 4, 8 and 12 clock point on the inner plate then making a tongue-groove suture. Fascia bands type： removing the dysgenic dartos fascia band and moving up the penoscrotal spot and make a Y-V plasty. Webbing penis： taking a transsection and longitudinal suture at the penoscrotal spot. [Results] All patients had an effective exposure of penis ofter operation. [Conclusion] The correct classification of the concealed penis will help to select optimal surgical method.

关 键 词：隐匿阴茎 分型 肥胖 治疗原则 

分 类 号：R697.1[医药卫生—泌尿科学]