首页> 中文期刊> 《中华小儿外科杂志》 >小儿埋藏性阴茎的诊断与外科治疗

小儿埋藏性阴茎的诊断与外科治疗

摘要

为了探讨埋藏阴茎的最佳的手术治疗方法,对近12年中收治的年龄4~13岁85例患儿,应用包括包皮外板多处小切口纵切横缝包茎、耻骨联合前上方皮下组织切除、阴茎筋膜分离和阴茎根部皮肤与耻骨骨膜缝合的方法进行手术.术后半年以上获得随访共67例,其中效果满意59例(88.1%),尚有轻度阴茎埋藏8例(11.9%).提示本术式是治疗埋藏阴茎简单有效的方法.%Buried penis is a congenital abnormality in which the phallus is hidden in the subcutaneous tissue.The corproal body and glans develop normally.This abnormality may be related to an abnormal attachment of dartos muscle during embryogenesis.It differs from a concealed pehis which is concealed behind protuberant suprapubic subcutaneous fat.An early surgical correction to improve the cosmetic appearance of the phallus is recommended.85 cases aged 4-13 years with buried penis were treated with newly designed method.The surgical procedures conclude small longitudinal incision on the external lamina of prepuce and transverse sutured;removal of loose subcutaneous tissue from suprapubic region;and fixation of the skin at the base of the penis on periosteum of pubic.The follow-up results of 67 cases for more than 6 months were satisfactory in 59(88.1%),improved in 8(11.9%).In conclusion,this method is simple and satisfactory in the treatment for this abnormality.

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