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目的提高对儿童隐匿性阴茎的认识和诊断水平,探讨其手术治疗方法。方法本院2005年6月-2007年7月治疗10例隐匿性阴茎患儿。年龄6～12岁。阴茎长度1.2～2.6cm。患儿发育及排尿均正常,雄、雌性激素检查均正常。病因由单纯肥胖引起1例,由阴茎内膜纤维条索引起9例。对其临床表现、诊断和手术治疗方法进行回顾性分析。结果10例患儿均诊断正确。患儿均采用Devine手术方法。10例患儿切口均一期愈合,术中无血管、神经及尿道损伤。术后阴茎长度3.0～5.5cm,平均3.6cm。随访3个月～2a,10例患儿解除包茎,排尿正常,阴茎外观亦满意。1例患儿阴茎海绵体发育欠佳,予人绒毛膜促性腺激素治疗,阴茎发育得到改善。1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 improve the cognition and diagnosis of occult penis in children and explore its surgical treatment. Methods The hospital from June 2005 -2007 in July treatment of 10 cases of latent penile children. Age 6 to 12 years old. Penis length of 1.2 ~ 2.6cm. Children with normal urination and development, male and female hormone tests were normal. Etiology caused by simple obesity in 1 case, caused by penile endometrial fibroids in 9 cases. The clinical manifestations, diagnosis and surgical treatment were retrospectively analyzed. Results 10 cases of children were diagnosed correctly. Children were treated with Devine method. Ten cases of incision healed, no intraoperative blood vessels, nerves and urethral injury. Postoperative penile length 3.0 ~ 5.5cm, an average of 3.6cm. Follow-up 3 months ~ 2a, 10 cases of children with the removal of the phimosis, normal urination, penis appearance is also satisfactory. 1 case of poor development of the penile cavernous, human chorionic gonadotropin treatment, penile development was improved. A case of obese children due to a large accumulation of pre-pubic symphysis, affecting the appearance of the short term, 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.