中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2010年
4期
283-285
,共3页
李超%杨恩明%黄一亮%安黎明%章振保
李超%楊恩明%黃一亮%安黎明%章振保
리초%양은명%황일량%안려명%장진보
阴茎显露不良%诊断%治疗
陰莖顯露不良%診斷%治療
음경현로불량%진단%치료
Inconspicuous penis%Diagnosis%Treatment
目的 探讨先天性阴茎显露不良的诊断与治疗特点.方法 阴茎显露不良患者89例,平均年龄10.6(5～45)岁.其中隐匿型32例(36%)、埋藏型42例(47%)、混合型15例(17%),轻度38例(43%),中度27例(30%)、重度24例(27%).36例中、重度者住院行手术矫正.53例轻、中度患者采取非手术治疗观察,其中38例获随访平均30(12～48)个月.结果 36例手术患者.手术前后阴茎长度分别为(1.37±0.58)、(4.05±0.52)cm,手术前后比较差异有统计学意义(t=17.68,P＜0.01),阴茎外观满意.38例轻、中度非手术患儿随访至青春期14～16岁,阴茎显露长度由(2.60±0.40)cm增至(4.90±0.50)cm.结论 根据阴茎显露不良的分型、分度采用相应的手术指征、适当的治疗方案治疗效果满意;轻中度患者随访观察显露不良症状多可自然改善.
目的 探討先天性陰莖顯露不良的診斷與治療特點.方法 陰莖顯露不良患者89例,平均年齡10.6(5～45)歲.其中隱匿型32例(36%)、埋藏型42例(47%)、混閤型15例(17%),輕度38例(43%),中度27例(30%)、重度24例(27%).36例中、重度者住院行手術矯正.53例輕、中度患者採取非手術治療觀察,其中38例穫隨訪平均30(12～48)箇月.結果 36例手術患者.手術前後陰莖長度分彆為(1.37±0.58)、(4.05±0.52)cm,手術前後比較差異有統計學意義(t=17.68,P＜0.01),陰莖外觀滿意.38例輕、中度非手術患兒隨訪至青春期14～16歲,陰莖顯露長度由(2.60±0.40)cm增至(4.90±0.50)cm.結論 根據陰莖顯露不良的分型、分度採用相應的手術指徵、適噹的治療方案治療效果滿意;輕中度患者隨訪觀察顯露不良癥狀多可自然改善.
목적 탐토선천성음경현로불량적진단여치료특점.방법 음경현로불량환자89례,평균년령10.6(5～45)세.기중은닉형32례(36%)、매장형42례(47%)、혼합형15례(17%),경도38례(43%),중도27례(30%)、중도24례(27%).36례중、중도자주원행수술교정.53례경、중도환자채취비수술치료관찰,기중38례획수방평균30(12～48)개월.결과 36례수술환자.수술전후음경장도분별위(1.37±0.58)、(4.05±0.52)cm,수술전후비교차이유통계학의의(t=17.68,P＜0.01),음경외관만의.38례경、중도비수술환인수방지청춘기14～16세,음경현로장도유(2.60±0.40)cm증지(4.90±0.50)cm.결론 근거음경현로불량적분형、분도채용상응적수술지정、괄당적치료방안치료효과만의;경중도환자수방관찰현로불량증상다가자연개선.
Objective To discuss the diagnosis and treatment of inconspicuous penis.Methods To retrospective analyze 89 cases with inconspicuous penis,aged from 5 to 45 years with a mean age of 10.6 years.Among these cases,32 cases of them were concealed penis,42 cases of them were buried penis and 15 caese of them were compound type.All the cases can be divided into 3 groups:lowgrade with 38 cases,medium-grade with 27 cases and server-grade with 24 cases.Thirty-six patients of medium-grade and server-grade were corrected by operation and the rest of 63 patients accepted nonsurgical treatment.Thirty-eight cases who did not accept operation were followed-up for average 30 mouths.Results Thirty-six cases who accepted operation extended their penis from(1.37±0.58)cm to(4.05±0.52)cm and had satisfactory appearance of it.Thirty-eight cases who were follow-up to adolescent 14-16 years old all improved exposure of the penis naturally.Conclusions Proper treatment and operation should be selected by the type and degree of inconspicuous penis may achieve fine effect.Surgical treatment should follow the appropriate surgical indications.
