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目的通过对32例隐匿阴茎患者临床资料,探讨改良Devine术治疗隐匿阴茎的临床应用。方法 2012年8月至2014年5月,应用改良Devine术治疗隐匿阴茎患者32例,年龄6~13岁,阴茎长度0.9~2.5cm,诊断标准均符合隐匿阴茎。结果 32例患者均手术顺利,无血管、神经及尿道损伤,术中无明显出血,均一期愈合,术后阴茎外观长度平均(3.6士1.2)cm,较术前改善明显(P<0.01),术后随访3~20月,阴茎外观满意,阴茎头显露,包皮无狭窄环,无明显顽固性水肿,排尿通畅。结论改良Devine术具备操作简便、创伤小、术后并发症少、外观恢复满意等优点,是一种治疗隐匿阴茎的理想术式。
Objective To investigate the clinical application of Modified Devine in the treatment of hidden penis through the clinical data of 32 patients with concealed penis. Methods From August 2012 to May 2014, 32 patients with concealed penis were treated with Modified Devine. The age ranged from 6 to 13 years and the penile length ranged from 0.9 to 2.5 cm. The diagnostic criteria were in line with the hidden penis. Results All the 32 patients underwent surgery successfully with no vascular, nerve and urethral injuries. No hemorrhage occurred during operation. All the patients were cured in one time. The length of the penis was 3.6 cm ± 1.2 cm after operation, which was significantly improved compared with that before operation (P <0.01) Follow-up 3 to 20 months after surgery, the penis was satisfactory appearance, penis revealed, no sarcopenia ring, no significant refractory edema, voiding patency. Conclusion The modified Devine technique is an ideal method for the treatment of hidden penis with the advantages of simple operation, less trauma, less postoperative complications and satisfactory appearance recovery.