隐匿阴茎的分型与手术治疗(附77例报告)  

Classification and surgical correction of the concealed penis (77 cases report)

作　　者：张国强[1] 陈卫华[1] 孙旭[1] 

机构地区：[1]上海同济大学附属东方医院泌尿外科,上海200120

出　　处：《中国男科学杂志》2009年第10期45-47,共3页Chinese Journal of Andrology

摘　　要：目的提高对隐匿阴茎的认识,介绍一种手术治疗方法。方法总结1998年3月至2008年3月,诊治77例隐匿阴茎的经验。根据隐匿阴茎的不同病理改变,将其分为包茎型、索带型、小皮套型和肥胖型4种类型。包茎型通过阴茎背侧"Y-V"成形弥补阴茎体皮肤不足。索带型以纤维索带松解、切除为主。小皮套型需做背、腹侧"Y-V"成形。单纯肥胖型可观察、等待。严重者,将阴茎皮肤固定于阴茎根部的阴茎体两侧白膜上。结果术后所有病例外观均得到改善。结论对隐匿阴茎进行分型,按不同情况进行相应处理,有利于纠正隐匿阴茎。Objective To better understand the pathological types of concealed penis and make the responding surgical procedures. Methods Total of 77 patients with concealed penis from Mar. 1998 to Mar. 2008 who underwent surgical treatment in our hospital were reviewed and analyzed. According to different pathological change of concealed penis, 77 patients were classified into four pathological types such as phimosis type, fascia bands type, micropenile skin sleeve type and obesity type. Different surgical procedures were used respectively targeted on their pathological 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 into the lateral Buck＇s fascia at the base of the penis. Results All patients with concealed penis were all improved in appearance and accessibility after responding surgical. Conclusion The pathological classification of the concealed penis patient would be helpful to clinical diagnosis, different surgical treatment selection and further facilitated the cure of concealed penis.

关 键 词：隐匿阴茎 分型 外科手术 

分 类 号：R697.11[医药卫生—泌尿科学]