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目的通过对58例隐匿性阴茎患儿的诊断与治疗,了解外科手术对儿童隐匿性阴茎治疗的有效性。方法本院2005年6月至2009年6月治疗58例隐匿性阴茎患儿。年龄2～15岁。阴茎长度0.8～2.8cm。据阴茎体外显程度分为轻、中、重度,其中轻度9例,中度26例,重度23例,并据其不同程度的解剖特征采取相应的手术矫治。结果 58例患儿切口均一期愈合,无明显并发症,术后阴茎比术前延长2～3cm。随访3个月～2年,均解除包茎,排尿正常,阴茎外观亦满意。3例肥胖患儿因耻骨前脂肪大量堆积,短期内影响外观,但随着阴茎生长发育,形态逐渐恢复正常。结论根据不同的病因和病理改变,进行正确的诊断和鉴别诊断是儿童隐匿性阴茎手术治疗的重要前提。选择适合的手术治疗方法,可明显延长患儿阴茎长度,改善排尿症状和阴茎外观。
Objective To understand the effectiveness of surgical treatment of occult penis in children through the diagnosis and treatment of 58 cases of concealed penile children. Methods The hospital from June 2005 to June 2009 treatment of 58 cases of concealed penile children. Age 2 to 15 years old. Penis length 0.8 ~ 2.8cm. According to the extent of the penile was significantly lighter, moderate and severe, of which mild in 9 cases, moderate in 26 cases, severe in 23 cases, and according to their different degrees of anatomical features to take the appropriate surgical treatment. Results 58 cases of incision healed, no obvious complications, postoperative penis than the preoperative extension of 2 ~ 3cm. Follow-up 3 months to 2 years, were removed phimosis, normal urination, penis appearance is also satisfactory. 3 cases of obese children due to a large accumulation of pre-pubic symphysis, short-term impact on appearance, but as the penis growth and development, the form gradually returned to normal. Conclusion According to different etiology and pathological changes, the correct diagnosis and differential diagnosis is an important prerequisite for occult penile surgery in children. Select the appropriate surgical treatment, can significantly extend the penis length in children to improve urination symptoms and penile appearance.