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目的探讨不同手术方式对65例先天性隐匿阴茎的治疗效果。方法总结洛阳市妇女儿童医疗保健中心近7 a来对65例隐匿阴茎患儿采用不同手术方法进行治疗的临床经验,其中Devine术16例,脱套式阴茎固定术29例,转移皮瓣法20例。结果平均随诊1.5 a(6个月~2.5 a),无明显肥胖者术后阴茎外形均发育良好。Devine术后5例出现顽固性水肿,且外观不甚满意。结论隐匿阴茎手术方法较多,根据患儿阴茎发育情况可采用不同的手术方式,皮瓣转移法手术阴茎外观接近包茎术后外观,并发症较少,可以作为治疗隐匿阴茎的常规术式。
Objective To investigate the effect of different surgical methods on 65 cases of congenital hidden penis. Methods Sixty-five cases of children with concealed penile were treated by Luoyang Women’s and Children’s Medical Center in recent 7 years. There were 16 cases of Devine operation, 29 cases of disengaged penile fixation and 20 cases of metastatic flap method example. Results The average follow-up of 1.5 a (6 months to 2.5 a), no obesity were good development of the penile shape. Devine postoperative 5 patients with intractable edema, and the appearance is not satisfied. Conclusion There are many methods of concealing the penis. According to the penile development of children, different methods of operation can be used. The appearance of the penis of the flap transfer method is similar to the appearance of the phimosis. There are fewer complications and can be used as a routine operation for concealing the penis.