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目的:探讨改良阴茎脱套固定术治疗小儿隐匿阴茎的有效性。方法:2004年10月～2011年2月采用改良阴茎脱套固定术治疗小儿隐匿阴茎85例。结果:所有患儿均顺利完成手术,17例患儿术后出现明显包皮水肿,2～3个月恢复正常。术后随访2～14个月,所有患儿阴茎体显露充分,阴茎无明显退缩现象。结论:隐匿阴茎的形成与先天性阴茎皮肤浅筋膜层发育异常有关,改良阴茎脱套固定术式具有手术视野显露良好、操作简单、效果满意等优点,是小儿隐匿阴茎治疗的理想方法。
Objective: To explore the effectiveness of modified penile decapsulation in the treatment of children’s concealed penis. Methods: From October 2004 to February 2011, 85 children with concealed penis were treated with modified penile detachment and fixation. Results: All the children were successfully completed surgery, 17 cases of significant postoperative foreskin edema, 2 to 3 months returned to normal. All the patients were followed up for 2 to 14 months. All the penis showed fullness, and the penis showed no obvious withdrawal. Conclusion: The formation of concealed penis is related to the abnormal development of superficial fascia of congenital penile skin. The improved penis detachment and fixation has the advantages of good surgical field of vision, simple operation and satisfactory results. It is an ideal method for the treatment of concealed penis in children.