隐匿性阴茎的诊断与外科治疗(附40例报告)  

Diagnosis and surgical treatment of concealed penis (report of 40 cases)

作　　者：卫长福[1] 朱选文[2] 袁利荣[1] 王树新[1] 王锦华[1] 钱明[1] 

机构地区：[1]浙江省杭州市第二人民医院,杭州311121 [2]浙江大学附属第一医院泌尿外科

出　　处：《中国男科学杂志》2006年第2期53-54,共2页Chinese Journal of Andrology

摘　　要：目的通过对40例隐匿性阴茎患儿的诊断与治疗,了解外科手术对儿童隐匿性阴茎治疗的有效性。方法根据患儿不同病理特点,采用阴茎肉膜纤维索、耻骨前脂肪垫切除加阴茎根部皮肤固定术,重症患儿切断阴茎悬韧带浅层对于单纯耻骨前脂肪肥厚患儿行包皮口纵切横缝、耻骨前脂肪垫切除及阴茎根部皮肤固定术,对于曾行包皮环切术的患儿行阴囊带蒂皮瓣转移术。结果40例患儿切口均一期愈合,无明显并发症,术后阴茎比术前延长2￣3cm,2例复发患儿二次手术行阴茎根部皮肤固定后治愈,3例术后阴茎显露不够满意。有效率为92.5%。结论外科手术可有效治疗隐匿性阴茎,明显延长患儿阴茎的长度,同时改善了排尿症状和阴茎外观。Objective To evaluate the effects of surgical treatment for concealed penis from 40 children cases. Methods According to the different pathological behavior of the patients, different operation styles were applied. To the patients with inelastic dartos fascia, the dartos and suprapubic fat pad were resected and dermodesis of root of the penis were applied. The suspensory ligament of the penis must be divided for the severe patients. To the patients with suprapubic fat pad thickening, the orifices of the prepuces were slited and sutured transversely. The dartos resection was not applied. Transfer of pedicle skin flap of scrotum was applied to the patients after circumcision. Results Incisions of all 40 patients were primary healing. No transparent complications were found. The length of the penises was extended about 2-3cm. 2 recurrent patients were received the second operation and were cured. The elongation of penises of 3 patients was not satisfactory. The total rate of effect was 92.5%. Conclusion The surgical intervention can effectively treat concealed penis and transparently extend the length. At the same time, the operation ameliorate the symptom of micturation and appearance of the penis.

关 键 词：阴茎疾病 诊断 外科手术 

分 类 号：R697.1[医药卫生—泌尿科学] R699[医药卫生—外科学]