CAJ | 학술논문

目的探讨单纯性隐匿阴茎诊断方法,观察改良Devine矫正术治疗效果.方法明确诊断为单纯性隐匿阴茎58例进行改良Devine矫正术.手术方法为冠状沟下方环形切开包皮,于阴茎深筋膜浅层向阴茎根部游离脱套,充分切除阴茎体与皮肤之间发育不良的肉膜组织以及纤维索带.充分伸直阴茎,于阴茎皮肤与会阴皮肤延续处,2、10点分别切取5mm切口,通过此切口固定阴茎白膜与阴茎皮肤真皮层.结果平均手术时间40min,术后平均住院时间4～4.5d.所有患者术后阴茎显露较术前改善明显,较术前阴茎外形延长2.0～2.5cm;加压包扎3～4d,有不同程度包皮水肿,以内板水肿明显,于术后2～4周消退.伤口边缘皮肤坏死1例,清创换药两周后愈合.结论诊断隐匿性阴茎从严掌握标准,充分的阴茎皮肤脱套松解、切除异常组织以及阴茎根部白膜固定为手术治疗的关键.采用Devine矫正术,结合阴茎根部两点直视下固定,具有手术操作简单、固定点明确可靠、创伤小、外观满意的特点,是治疗单纯性隐匿阴茎的有效术式.
목적 탐토단순성은닉음경진단방법,관찰개량Devine교정술치료효과.방법 명학진단위단순성은닉음경58례진행개량Devine교정술.수술방법위관상구하방배형절개포피,우음경심근막천층향음경근부유리탈투,충분절제음경체여피부지간발육불량적육막조직이급섬유색대.충분신직음경,우음경피부여회음피부연속처,2、10점분별절취5mm절구,통과차절구고정음경백막여음경피부진피층.결과 평균수술시간40min,술후평균주원시간4～4.5d.소유환자술후음경현로교술전개선명현,교술전음경외형연장2.0～2.5cm;가압포찰3～4d,유불동정도포피수종,이내판수종명현,우술후2～4주소퇴.상구변연피부배사1례,청창환약량주후유합.결론 진단은닉성음경종엄장악표준,충분적음경피부탈투송해、절제이상조직이급음경근부백막고정위수술치료적관건.채용Devine교정술,결합음경근부량점직시하고정,구유수술조작간단、고정점명학가고、창상소、외관만의적특점,시치료단순성은닉음경적유효술식.
Objectives To investigate the diagnosis of concealed penis,to observe the therapeutic effect of improved Devine operation.Methods Diagnosed as simple concealed penis in 58 cases were done the operation of improved Devine correction.The method ofthisoperation is to coronary sulcus ring incision below the foreskin,from shallow to deep fascia of penis penis root free degloving and fully resected dartos tissue between the body and the skin of penis dysplasia and fibrous band.Full extension the penis,In the skin of the penis and perineal skin continuation place and cut 5mm incision form 2,10 points,through this incision fixed albuginea and penile skin dermis.Results The mean operative time 40 minutes and the mean postoperative hospital stay 4 ～ 4.5 days.All patients penis revealed significant improvement and penis shape extending 2.0 ～ 2.5cmcompared with the preoperative,there are different degrees of foreskin edema after bandaged 3 ～4 days,the edema within the board and it will subsided in 2 ～4 weeks after operations.1 cases of skin edge was necrosis and became healing after two weeks of debridement dressing.Conclusions To strictly grasp the standard diagnosis of concealed penis,andthe keysof operation treatment areadequate penile degloving release,removal of the abnormal tissue and tunica albuginea penis root fixed.The Devine correction,with two fixed penis root under direct vision,has the characteristics of simple operation,reliable fixation point dear,small trauma,satisfactory appearance,itis an effective procedure for the treatment of simple concealed penis.