改进Devine术治疗儿童隐匿阴茎33例

目的探讨治疗隐匿阴茎的简单、有效方法。方法对33例隐匿阴茎患儿通过改良的Devine术来完成阴茎脱套固定及包皮修剪或环切。结果包皮内板淋巴水肿1例,随访3个月自愈,其余均获得成功,平均手术时间60min,随访6个月～4a,阴茎外观发育满意,无蹼状结构,排尿及勃起功能正常。结论本术式能够使阴茎的病理改变得以纠正,手术简单易行,适用于不同类型的隐匿阴茎,是一种理想的手术方法。     

改良Devine术治疗儿童隐匿阴茎33例

目的探讨隐匿阴茎的简单、有效疗法。方法对33例隐匿阴茎患儿通过改良Devine术完成阴茎脱套固定及包皮修剪或环切。结果包皮内板淋巴水肿1例,随访3个月自愈,其余均获得成功,平均手术时间60min,随访6个月-4a,阴茎外观发育满意,无蹼状结构,排尿及勃起功能正常。结论本术式能够使阴茎的病理改变得以纠正,手术简单易行,适用于不同类型的隐匿阴茎,是一种理想的手术方法。     

Devine术矫治儿童隐匿阴茎

目的 探讨儿童隐匿阴茎的病因、诊断及手术治疗,提高诊疗水平.方法 采用Devine术治疗儿童隐匿阴茎23例(3～12岁,平均7.5岁),9例为肥胖患儿.结果和结论 阴茎肉膜发育异常、短缩、增厚,限制了阴茎正常伸展,是儿童隐匿阴茎的主要病理改变.本组病例经Devine术治疗取得满意效果,经术后4个月～2年随访,阴茎显露及外观满意,无阴茎包皮水肿、皮肤缺血、血肿、勃起疼痛等并发症.Devine术充分切除失去弹性的肉膜层,松解阴茎,是一种治疗小儿单纯性隐匿阴茎的理想术式.     

儿童隐匿阴茎的治疗

目的:通过总结60例先天性隐匿阴茎的临床资料,探讨不同手术方式对隐匿阴茎患儿的治疗效果.方法:总结近7年来对60例隐匿阴茎患儿采用不同手术方法进行治疗的临床经验,其中Devine术16例,脱套式阴茎固定术30例,转移皮瓣法14例.结果:在平均约1年的随访中,无明显肥胖者术后阴茎外形已发育良好,Devine术后3例出现顽固性水肿.结论:隐匿阴茎手术方法较多,根据患儿阴茎发情况可采用不同的手术方式,皮瓣转移法术后阴茎外观接近包茎术后外观,并发症较少.     

阴茎脱套矫治术治疗隐匿阴茎的临床观察

目的探讨矫治隐匿阴茎简单有效并减少并发症的方法。方法对隐匿阴茎患者33例（年龄为3~23岁）,采用阴茎脱套,切除变性的肉膜组织,30例（占90%）行阴茎根部皮肤与海绵体白膜的固定。将原来脱套的阴茎皮肤矫型复位,术后加压包扎。结果 1例因肥胖儿未行固定引起术后阴茎回缩,再次手术治愈;其余所有病例疗效均满意。3例患儿术后发生较重的包皮水肿,3~4月内均恢复正常。结论阴茎脱套矫治术对隐匿阴茎疗效满意,且操作简单、安全,并发症少;也适用于包皮不充足的隐匿阴茎。     

隐匿阴茎的诊治

通过对４６例隐匿阴茎的诊治分析，认为Ｄｅｖｉｎｅ术式治疗阴匿阴茎效果优于Ｓｈｉｒａｋｉ术式。建议采用Ｄｅｖｉｎｅ术式矫治隐匿阴茎。隐匿阴茎易与包茎、微小阴茎、阴茎不发育及陷没阴茎相混淆，术前确诊极为重要，如误诊行包皮环切，可给以后矫治带来困难。     

肥胖儿童隐匿阴茎的综合治疗

目的探讨肥胖儿童隐匿阴茎的综合治疗方法。方法回顾性分析采用综合治疗的87例肥胖儿童隐匿阴茎患儿的临床资料。结果 87例中22例在体质量接近正常后,家属满意外生殖器表观,未手术干预。65例采用阴茎脱套固定结合＂Z＂改形术治疗,术后52例显露满意;13例术后阴茎外观仍显露欠佳,在术后1个月开始应用人绒毛膜促性腺激素治疗。所有病例随访6～12个月,均获得满意外观（与同龄儿相仿）,无并发症发生。结论肥胖儿童隐匿阴茎需要全面评估,采用综合治疗方法,可以获得较好的效果。     

儿童隐匿阴茎42例外科治疗

儿童隐匿阴茎是由各种原因引起阴茎不能正常显露的疾病。临床上对隐匿阴茎分类、诊断和治疗争议较多。现将我院自1999年1月-2003年6月收治的42例患者的临床资料，结合文献复习总结报告如下。     

背侧阴茎体固定治疗隐匿阴茎

隐匿阴茎是一种少见的阴茎畸形，大多需手术治疗。目前介绍的术式较多，各有优缺点，我们自１９９５～１９９７年采用背侧阴茎体固定术，治疗隐匿阴茎２８例，效果满意，现报告如下。１临床资料与方法本组２８例，年龄１．５～１１岁，平均年龄７．５岁，体查，阴茎外观突...     

隐匿阴茎的治疗体会

目的提高对隐匿阴茎的认识和临床治疗效果。方法对我院收治的16例患者手术方法进行回顾性分析。15例将阴茎皮肤固定于阴茎根部的阴茎体两侧白膜上,1例行阴囊皮瓣阴茎皮肤成形。结果术后随访2～42个月。所有病例都获得了满意外观;有2例出现阴茎皮肤水肿。无1例发生回缩及扭转。结论隐匿阴茎属一种阴茎显露异常,早期纠正可改善外生殖器异常对患者带来的心理影响。将阴茎皮肤固定于阴茎根部的阴茎体两侧白膜上是一种合适的手术方案。     

Clinical observation of surgical treatment of congenital buried penis in children using the Shiraki-Devine procedure

对采用Shiraki-Devine方法治疗的58例中重度小儿隐匿阴茎患儿的临床资料进行回顾性分析.所有患者随访均效果满意;7例有包皮内板轻度水肿,其中5 例术后6～8 周恢复正常,2例术后10～12 周恢复正常;1例阴茎表皮坏死,经相应处理后恢复正常.该'手术方法治疗儿童先天性隐匿阴茎设计合理,美容效果良好,并发症相对较少.     

经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎的疗效观察

目的探讨经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎的近期临床疗效。方法回顾分析经阴茎腹侧松解固定成形术、Devine术与Brisson术治疗小儿先天性隐匿阴茎各50例,按统一手术疗效评定标准评价分析手术疗效,并对照不同手术间的疗效差异。结果术后9d经阴茎腹侧松解固定成形术组、Devine术组与Brisson术组的有效率分别为96.00%、76.00%、88.00%,经阴茎腹侧松解固定成形术组有效率明显高于Devine术和Brisson术组(P<0.05);术后3个月经阴茎腹侧松解固定成形术组、Devine术组与Brisson术组的有效率分别为95.83%、75.61%、83.72%,经阴茎腹侧松解固定成形术组有效率明显高于Devine术和Brisson术组(P<0.05)。结论经阴茎腹侧松解固定成形术治疗小儿先天性隐匿阴茎具有操作简单、并发症少、术后外观满意等优点,是治疗小儿先天性隐匿阴茎的理想术式。     

Effects of buried penis on the structure and function of corpus cavernosum in a rat model

Background While the abnormal appearance of the concealed penis has been well recognized, the effect of buried penis on the structure and function of corpus cavernosum has not been well studied. To explore this issue, we established a rat model and evaluated the effect of buried penis on cavernosum weight, contents and ultrastructure of tissue, and nitric oxide synthase （NOS） activity. Methods Two hundred and ten rats were randomly divided into 3 equal cohorts for 2, 4 and 6 months study （groups A, B and C）. Each group was randomly divided into buried group （n=40）, control group （n=15）, and normal group （n=15）, respectively. Intra-purse-string suture of the root of the penis was used to establish the model. Macroscopic development was judged by measuring the weight of the corpus cavernosum. Masson＇s trichrome staining was performed for observing microstructure while a transmission electron microscope was used for observing ultrastructure. The NOS activity was detected by a NOS activity assay kit. Results Buried penis had no significant influence on the appearance and weight of the corpus cavernosum. Buried penis resulted in decreased smooth muscle content （P 〉0.05 in group A, and P 〈0.05 in groups B and C） and increased fibrous connective tissue content （P 〉0.05 in groups A and B, and P 〈0.05 in group C） compared with the normal and control groups. Ultrastructural abnormalities of corpus cavernosum were observed in the 6-month buried group. Moreover, there was decrease of NOS activity in groups B and C （P 〈0.05 in group B and P 〈0.01 in group C） when compared with the normal and control groups. Conclusion Buried penis affects the structure and function of corpus cavernosum in rats and the effect is positively correlated with the buried time, but there is no significant effect on the macroscopic development.     

小儿隐匿阴茎的诊断与治疗

[目的 ]探讨隐匿阴茎的病因、诊断及治疗方法 ,以提高对该病的认识和临床治疗效果。 [方法 ]总结 2 8例儿童隐匿阴茎的临床资料。其中 5例合并肥胖症。 [结果 ]术后随访 0 5～ 1 .0a ,手术效果满意。 [结论 ]手术是治疗隐匿阴茎的主要手段。对此类患者忌行单纯包皮环切术     

阴茎脱套固定结合Z改形术治疗隐匿阴茎

目的探讨阴茎脱套固定结合阴茎阴囊皮肤Z改形术治疗隐匿阴茎的疗效。方法对58例隐匿阴茎患者采用阴茎脱套固定结合阴茎阴囊皮肤Z改形术进行治疗。将阴茎于Buck’s筋膜表面脱套至根部,将阴茎根部白膜于5点和7点处与其外侧Scarpa筋膜缝合固定,阴茎腹部包皮缺损通过阴茎阴囊皮肤Z改形术覆盖。结果随访6~12月,所有患者术后阴茎形态及阴茎体显露满意;2例于术后2~3周发生包皮内板水肿,2~3月后完全消退;无蹼状结构及切口疤痕增生,排尿及勃起功能均正常。结论采用阴茎脱套固定结合阴茎阴囊皮肤Z改形术可充分矫正隐匿阴茎的病变,术后阴茎外观理想,并发症少,是一种较为理想的手术方法。     

手术治疗先天性眼球震颤的临床观察

目的探讨先天性眼球震颤的手术方法和效果。方法采用Anderson及Parks法12例先天性眼球震颤的患者进行手术治疗,观察术后疗效。结果8例第一眼位眼震消失,9例头位改善,眼位矫正。结论手术治疗先天性眼球震颤是较为有效的方法,值得推广。     

肺俞穴埋药治疗小儿急性上呼吸道感染发热的临床观察

目的：观察肺俞穴埋药治疗急性上呼吸道感染发热的临床疗效。方法：将220例患者随机分为治疗组120例和对照组100例,治疗组给予西医常规内科治疗加用肺俞穴位埋药治疗,对照组仅给予西医常规内科治疗,观察患者临床症状的改善情况、退热时间。结果：治疗组临床总有效率为92.37%,对照组为76.04%,两组比较有显著性差异（P〈0.01）,且退热时间明显早于对照组（P〈0.05）。结论：肺俞穴埋药治疗急性上呼吸道感染发热有良好的临床疗效,能明显改善症状,缩短病程,方法简单、安全,值得推广。     

Effects of buried penis on the structure and function of corpus cavernosum in a rat model

Background While the abnormal appearance of the concealed penis has been well recognized, the effect of buried penis on the structure and function of corpus cavernosum has not been well studied. To explore this issue, we established a rat model and evaluated the effect of buried penis on cavernosum weight, contents and ultrastructure of tissue, and nitric oxide synthase (NOS) activity.Methods Two hundred and ten rats were randomly divided into 3 equal cohorts for 2, 4 and 6 months study (groups A, B and C). Each group was randomly divided into buried group (n=40), control group (n=15), and normal group (n=15), respectively. Intra-purse-string suture of the root of the penis was used to establish the model. Macroscopic development was judged by measuring the weight of the corpus cavernosum. Masson's trichrome staining was performed for observing microstructure while a transmission electron microscope was used for observing ultrastructure. The NOS activity was detected by a NOS activity assay kit.Results Buried penis had no significant influence on the appearance and weight of the corpus cavemosum. Buried penis resulted in decreased smooth muscle content (P>0.05 in group A, and P<0.05 in groups B and C) and increased fibrous connective tissue content (P >0.05 in groups A and B, and P <0.05 in group C) compared with the normal and control groups. Ultrastructural abnormalities of corpus cavernosum were observed in the 6-month buried group. Moreover, there was decrease of NOS activity in groups B and C (P<0.05 in group B and P<0.01 in group C) when compared with the normal and control groups.Conclusion Buried penis affects the structure and function of corpus cavemosum in rats and the effect is positively correlated with the buried time, but there is no significant effect on the macroscopic development.     

Effects of buried penis on the structure and function of corpus cavernosum in a rat model

Background While the abnormal appearance of the concealed penis has been well recognized, the effect of buried penis on the structure and function of corpus cavernosum has not been well studied. To explore this issue, we established a rat model and evaluated the effect of buried penis on cavernosum weight, contents and ultrastructure of tissue, and nitric oxide synthase (NOS) activity.Methods Two hundred and ten rats were randomly divided into 3 equal cohorts for 2, 4 and 6 months study (groups A, B and C). Each group was randomly divided into buried group (n=40), control group (n=15), and normal group (n=15), respectively. Intra-purse-string suture of the root of the penis was used to establish the model. Macroscopic development was judged by measuring the weight of the corpus cavernosum. Masson's trichrome staining was performed for observing microstructure while a transmission electron microscope was used for observing ultrastructure. The NOS activity was detected by a NOS activity assay kit.Results Buried penis had no significant influence on the appearance and weight of the corpus cavemosum. Buried penis resulted in decreased smooth muscle content (P>0.05 in group A, and P<0.05 in groups B and C) and increased fibrous connective tissue content (P >0.05 in groups A and B, and P <0.05 in group C) compared with the normal and control groups. Ultrastructural abnormalities of corpus cavernosum were observed in the 6-month buried group. Moreover, there was decrease of NOS activity in groups B and C (P<0.05 in group B and P<0.01 in group C) when compared with the normal and control groups.Conclusion Buried penis affects the structure and function of corpus cavemosum in rats and the effect is positively correlated with the buried time, but there is no significant effect on the macroscopic development.