隐匿阴茎的诊断与整复矫治

Diagnosis and Surgical treatment of Concealed penis

目的通过对58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。方法本院2005年6月至2009年6月治疗58例隐匿性阴茎患儿。年龄2～15岁。阴茎长度0.8～2.8cm。据阴茎体外显程度分为轻、中、重度,其中轻度9例,中度26例,重度23例,并据其不同程度的解剖特征采取相应的手术矫治。结果 58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。随访3个月～2年,均解除包茎,排尿正常,阴茎外观亦满意。3例肥胖患儿因耻骨前脂肪大量堆积,短期内影响外观,但随着阴茎生长发育,形态逐渐恢复正常。结论根据不同的病因和病理改变,进行正确的诊断和鉴别诊断是儿童隐匿性阴茎手术治疗的重要前提。选择适合的手术治疗方法,可明显延长患儿阴茎长度,改善排尿症状和阴茎外观。

Objective To evaluate the effects of surgical treatment for concealed penis from 58 children cases. Methods 58 children with concealed penis were reviewed retrospectively in the Department of Plastic Surgery, Affiliated Hospital of Guangdong Medical College from Jun.2005 to Jun.2009.Patients were 2~15 years old.Penis length was0.8~2.8 cm. They were classified as mild 9 cases, moderate in 26,and severe in 23 according to severity. Surgical procedures were selected based on varied anatomical changes in different categories. Results Of all 58patients were primary healing.No notable complications were found.The length of the penises was extended about 2.0~3.5 cm. Followed up 3 months to 2 years,58 children’s phimosis were removed,the micturition were normal;the appearance of penis was also satisfactory after operation. The penis contour was dissatisfactory in 3 obesity patient,but it was ameliorated gradually while growing up. Conclusion The correct diagnosis and differential diagnosis are very important for operative treatment depend on the different etiology and pathologic changes of concealed penis.Suitable operation can extend the length;moreover,ameliorate the symptom of micturition and the appearance of the penis.