改良Devine术治疗小儿隐匿性阴茎的临床分析

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。

Clinical analysis of improved Devine surgery in the treatment of pediatric underlying penis

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.