先天性阴茎显露不良诊治特点分析

Discussing the diagnosis and treatment of inconspicuous penis

目的探讨先天性阴茎显露不良的诊断与治疗特点。方法阴茎显露不良患者89例，平均年龄10．6（5～45）岁。其中隐匿型32例（36％）、埋藏型42例（47％）、混合型15例（17％），轻度38例（43％）、中度27例（30％）、重度24例（27％）。36例中、重度者住院行手术矫正。53例轻、中度患者采取非手术治疗观察，其中38例获随访平均30（12-48）个月。结果36例手术患者，手术前后阴茎长度分别为（1．37±0．58）、（4．05±0．52）cm，手术前后比较差异有统计学意义（t=17．68，P〈0．01），阴茎外观满意。38例轻、中度非手术患儿随访至青春期14～16岁，阴茎显露长度由（2．60±0．40）cm增至（4．90±0．50）cm。结论根据阴茎显露不良的分型、分度采用相应的手术指征、适当的治疗方案治疗效果满意；轻中度患者随访观察显露不良症状多可自然改善。

Objective To discuss the diagnosis and treatment of inconspicuous penis. Methods To retrospective analyze 89 cases with inconspicuous penis, aged from 5 to 45 years with a mean age of 10.6 years. Among these cases, 32 cases of them were concealed penis, 42 cases of them were buried penis and 15 caese of them were compound type. All the cases can be divided into 3 groups： lowgrade with 38 cases, medium-grade with 27 cases and server-grade with 24 cases. Thirty-six patients of medium-grade and server-grade were corrected by operation and the rest of 63 patients accepted nonsurgical treatment. Thirty-eight cases who did not accept operation were followed-up for average 30 mouths. Results Thirty-six cases who accepted operation extended their penis from （1.37±0.58） cm to （4.05±0.52）cm and had satisfactory appearance of it. Thirty-eight cases who were follow-up to adolescent 14-16 years old all improved exposure of the penis naturally. Conclusions Proper treatment and operation should be selected by the type and degree of inconspicuous penis may achieve fine effect. Surgical treatment should follow the appropriate surgical indications.