摘要
目的探讨肥胖者伴隐匿阴茎的合适手术治疗方法。方法对40例不同类型肥胖者伴发隐匿阴茎病人采用不同的处理方法,单纯型:减肥观察或包皮“Y-V”成型;包茎型:切开包皮外板2、6和10点,内板4、8和12点,嵌插缝合;纤维索带型:切除松解阴茎背侧挛缩的筋膜,上移阴茎阴囊交界部行“Y-V”成型术;蹼状阴茎:作阴茎阴囊交界部腹侧横切纵缝。结果所有病例术后阴茎体显露十分满意。结论对肥胖者伴隐匿阴茎正确的分型有助于选择合理的手术方式。
[Objective] To explore the appropriate surgical treatment of concealed penis in obese patients. [Methods] Different operation were selected in 40 patients according the type of concealed penis. Simple concealed penis：weight reduction and observation or Y-Vplasty of acrobystia. Phimosis type： slitting the outer plate of prepuce at 2, 6 and 10 clock point and at 4, 8 and 12 clock point on the inner plate then making a tongue-groove suture. Fascia bands type： removing the dysgenic dartos fascia band and moving up the penoscrotal spot and make a Y-V plasty. Webbing penis： taking a transsection and longitudinal suture at the penoscrotal spot. [Results] All patients had an effective exposure of penis ofter operation. [Conclusion] The correct classification of the concealed penis will help to select optimal surgical method.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第18期2819-2820,2822,共3页
China Journal of Modern Medicine
关键词
隐匿阴茎
分型
肥胖
治疗原则
concealed penis
type
fat
principle of treatment
