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目的探讨隐匿阴茎分型,以提高对其认识和临床治疗效果,选择合适的手术矫治方法。方法2004年6月-2008年4月,收治196例隐匿阴茎患儿(患者)。年龄1岁4个月～44岁。临床症状均表现为阴茎外观短小,外显异常,呈圆锥状皮肤堆积或阴茎体隐匿。4例合并尿道下裂,为阴茎头型;3例合并尿道上裂,为阴茎型。根据阴茎外显程度分为轻、中、重型,其中轻型49例,中型109例,重型38例。根据不同程度的解剖特征采取相应的手术矫治。结果术毕阴茎外显明显改善,排尿功能正常,无皮瓣感染和坏死。术后患儿(患者)均获随访,随访时间6～48个月,平均16个月。1例中型和1例重型阴茎轻度回缩,无阴茎弯曲、扭转,无束缚包茎,未见明显瘢痕挛缩。1例中型术后3个月复发,包皮口缩窄、阴茎回缩,术后5个月再次行手术矫治,1年随访外观满意。其余患儿(患者)阴茎外显满意,阴茎头外露,外观与包皮环切患者外观相似。结论根据严重程度对隐匿阴茎进行分型,有助于深入认识该病,并有利于选择恰当的手术方式,提高其治疗效果。
Objective To explore the classification of hidden penis in order to improve its understanding and clinical treatment, select the appropriate surgical correction methods. Methods From June 2004 to April 2008, 196 children with latent penis (patients) were admitted. Age 1 year old 4 months to 44 years old. Clinical symptoms are manifested as short penis, abnormal appearance, was conical skin accumulation or penile body concealment. 4 cases combined hypospadias, penis head type; 3 cases of merger urethral fissure, penis type. According to the extent of penis was divided into mild, moderate and severe, of which 49 cases of light, 109 cases of medium and heavy in 38 cases. According to different degrees of anatomical features to take the appropriate surgical correction. Results The penis showed significant improvement of appearance, urinary function was normal, no flap infection and necrosis. Postoperative patients (patients) were followed up for 6 to 48 months with an average of 16 months. One case of medium and one case of severe penile mild retraction, no penile curvature, torsion, unbound phimosis, no obvious scar contracture. One case of moderate recurrence 3 months after surgery, the foreskin mouth narrowing, penile retraction, 5 months after surgery re-operation, 1 year follow-up appearance satisfactory. The rest of the children (patients) were clearly satisfied with the penis, penis exposed, look and circumcision appearance of patients similar. Conclusion According to the severity of the hidden penis typing, help to understand the disease in depth, and help to choose the appropriate surgical approach to improve its therapeutic effect.