摘要
隐匿性阴茎(concealed penis,CP)是一种近年来研究较多的疾病,最常见于儿童。先天性病因包括发育异常的阴茎白膜、阴茎筋膜发育不良、位于阴茎根部的韧带出现缺失和阴茎皮肤过短等;而获得性病因主要包括多种原因导致的肥胖、不合理的包皮环切术、创伤性损伤及炎症等。手术在延长阴茎和矫正儿童的隐匿阴茎解剖异常的重建中起着关键作用,目前主要有改良Shiraki术、改良Johnston术、改良Brisson术及改良Devine术等,其中改良Devine术是作为目前临床医师最常用的术式。临床上多见的并发症包括:术后疼痛、各种类型的包皮水肿、渗血及血肿存在、皮瓣的坏死、尿瘘、包皮内板赘生、过多的系带残留等。
Concealed penis is a disease that has been studied more in recent years,and it is most common in children.Congenital causes include dysplasia of the white membrane of the penis,dysplasia of penile fascia,absence of ligament at the root of the penis,and short skin of the penis;the acquired causes mainly include obesity caused by various reasons,unreasonable circumcision,traumatic injury and inflammation.Surgery plays a key role in lengthening the penis and correcting the reconstruction of hidden penis anatomical abnormalities in children.At present,there are mainly improved Shiraki operation,improved Johnston operation,improved Brisson operation and improved Devine operation,among which the improved Devine operation is the most commonly used operation for clinicians.The common clinical complications include postoperative pain,various types of prepuce edema,blood leakage and hematoma,necrosis of skin flap,urinary fistula,hyperplasia of prepuce inner plate,excessive frenulum residue,etc.
作者
邓文拓
周瑶
吴茂军
田茂良
DENG Wentuo;ZHOU Yao;WU Maojun;TIAN Maoliang(The Second Affiliated Hospital of Shandong First Medical University,Taian 271000,China;不详)
出处
《中国医学创新》
CAS
2023年第6期171-175,共5页
Medical Innovation of China
关键词
隐匿性阴茎
手术治疗方式
两点固定法
阴茎筋膜发育
儿童
Concealed penis
Surgical treatment
Two point fixation method
Development of penis fascia
Children
