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目的；探讨小儿隐匿阴茎的病因和病理改变，了解治疗隐匿明茎的手术方法。方法：对24例隐匿阴茎患儿的5种手术方法（Shiraki术、Johnston术、改良Johnston术、改良Shiraki－John－ston术和Maizels术）及治疗情况进行回顾性分析。结果：20例矫正效果满意，2例症状好转，2例（Shiraki术1例，改良Johnston术1例）明茎显露及防茎外形均欠满意，再次行Johnston术1例，Maizols术1例。结论：隐匿阴茎以肥胖者多见，其主要表现为阴茎皮肤不附着明茎体，大多数无阴茎皮肤缺乏，亦可能与阴茎背侧的纤维素带发育不良有关。手术主要需行明茎根部皮肤固定。
Objectives; explore the etiology and pathology of hidden penis in children to understand the surgical treatment of hidden stemming method. METHODS: Five surgical procedures (Shiraki’s surgery, Johnston’s surgery, modified Johnston’s surgery, modified Shiraki-John-ston’s surgery and Maizels’ surgery) and treatment of 24 children with concealed penile were retrospectively analyzed. Results: Satisfactory results were obtained in 20 cases, with improvement in 2 cases. In 2 cases (Shiraki’s surgery in 1 case and modified Johnston surgery in 1 case), the exposed stems and stems were not satisfactory. One case of Johnston operation and one case of Maizols operation were performed again. Conclusion: Hidden penis is more common in obese people. Its main manifestations are that the penile skin does not adhere to the stem, most of which have no penile skin defects and may also be related to dysplasia of the dorsal side of the penis. The main need to operate the root of the stem fixed skin.