CAJ | 학술논문

早期外科手术是治疗隐匿性阴茎的主要治疗手段，一般应在患儿学龄前实施手术治疗为宜， Devine、Shiraki及Johnstons矫正术是目前常见的手术方式，其中Devine手术被公认为治疗隐匿性阴茎的经典术式，但有更多的缺点：术中看来，操作更加困难；修复阴茎包皮后拉伸短缺和可怜的外表，术中需要保护阴茎背神经与血管的，否则由于表面的静脉和淋巴回流障碍，术后水肿引起阴茎。针对上述不足之处，采用了改良Devine手术，采用了阴茎脱套技术，有效地较少了术后阴茎水肿；充分切除阴茎内膜下发育欠佳的浅筋膜，有效改善了阴茎牵拉回缩；保留了耻骨脂肪垫；同时包皮环切术修整了包皮外观。综上所述，改良Devine手术可以有效治疗小儿隐匿性阴茎，并在最大程度上减轻了术后并发症，值得临床广泛应用。
조기외과수술시치료은닉성음경적주요치료수단，일반응재환인학령전실시수술치료위의， Devine、Shiraki급Johnstons교정술시목전상견적수술방식，기중Devine수술피공인위치료은닉성음경적경전술식，단유경다적결점：술중간래，조작경가곤난；수복음경포피후랍신단결화가령적외표，술중수요보호음경배신경여혈관적，부칙유우표면적정맥화림파회류장애，술후수종인기음경。침대상술불족지처，채용료개량Devine수술，채용료음경탈투기술，유효지교소료술후음경수종；충분절제음경내막하발육흠가적천근막，유효개선료음경견랍회축；보류료치골지방점；동시포피배절술수정료포피외관。종상소술，개량Devine수술가이유효치료소인은닉성음경，병재최대정도상감경료술후병발증，치득림상엄범응용。
Early surgical treatment is the main treatment of the underlying penis, should carry out surgical treatment in preschool children generally advisable, Devine, Shiraki and Johnstons diorthosis is the common way of operation, including Devine surgery is regarded as the classic operation for treatment of occult penis, but there are more disadvantages:less intraoperative view, operation more difficult;Repair the penis foreskin after stretching shortage and poor appearance, intraoperative need to protect the penile dorsal neurovascular, otherwise due to the superficial vein and lymphatic circumfluence obstacle, postoperative penile swelling. Aiming at these deficiencies, we used the improved Devine surgery, used the penis to take off the set of technology, effectively reduce the postoperative penile swelling;Sufficient to remove the penis lining poor development under the superficial fascia, effectively improve the penis pull retraction; Keep the pubic fat pad; At the same time the circumcision cuts wrapping appearance. To sum up, improve the Devine surgery can be effective in treatment of pediatric conceals the penis, and in the maximum extent, reduce the postoperative complications, worthy of clinical application widely.