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目的探讨隐匿型阴茎外科治疗原则。方法回顾分析2002年3月～2005年9月本院收治的73例隐匿型阴茎患者,年龄1岁3个月～20岁,平均4岁8个月,根据患者是否合并肥胖和包茎,将其分为A、B和C三组。A组37例,为肥胖合并包茎的隐匿阴茎,采用手术I式治疗。B组26例,体重正常,伴有或不伴有包茎的患儿,采用手术II式治疗。C组10例为肥胖不合并包茎的患儿,可等待观察,如青春期后未能自行缓解,采用手术I式治疗。结果术后随访3～6个月,各组阴茎显露均满意,其中B组中6例发生较重的阴茎包皮水肿,术后3个月恢复正常。结论隐匿型阴茎手术治疗方式多样化,根据不同情况选择不同的手术方式及手术时机是提高手术疗效的关键。
Objective To explore the principle of occult penis surgical treatment. Methods A retrospective analysis of 73 cases of occult penis admitted to our hospital from March 2002 to September 2005 was conducted. The patients were aged from 1 year, 3 months to 20 years, with an average of 4 years and 8 months. According to whether the patients had obesity and phimosis, Divided into A, B and C three groups. A group of 37 cases, obesity with phimosis hidden penis, the use of surgical treatment I. Group B, 26 cases of normal weight, with or without phimosis in children, the use of surgical treatment II. Group C, 10 cases of children without obesity without phimosis, can wait for observation, such as puberty failed to relieve themselves, the use of surgical treatment. Results The patients were followed up for 3 to 6 months. The penis showed satisfactory in all groups. Among them, 6 cases of severe penile edema of the penis in group B returned to normal after 3 months. Conclusions Diversified methods of occult penis surgery are the key to improve the curative effect of operation according to different situations.