儿童阴茎显露异常的分型及外科诊治_West China Medical Journal

Authors：

付福栋 ¹ , 吴昌静 ¹ ,  袁久洪 ^1,2

1. ;
2. ;

Corresponding author：

袁久洪, Email: jiuhongyuan2107@163.com

Keywords：

阴茎显露异常; 隐匿型阴茎; 蹼状阴茎; 束缚阴茎; 埋藏型阴茎

DOI：

10.7507/1002-0179.201708198

Video：

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儿童阴茎显露异常是一组阴茎体正常，但阴茎外观异常，病因病理改变与临床表现各异的阴茎显露异常综合征。儿童阴茎显露异常因发病机制相对复杂，致其归类存在较大争议。目前已被认可的四大分类为隐匿型阴茎、埋藏型阴茎、蹼状阴茎和束缚阴茎。阴茎显露异常极少不治而愈，临床主要是针对各种症状的具体病因而择取最优的外科手术方法进行治疗。该文对儿童阴茎显露异常病因、病理、诊断及治疗等方面的最新研究进行了综述，以期完善临床上对儿童阴茎显露异常的认知，从而为临床上对该病的研究和治疗提供参考。

Citation： 付福栋, 吴昌静, 袁久洪. 儿童阴茎显露异常的分型及外科诊治. West China Medical Journal, 2017, 32(11): 1787-1790. doi: 10.7507/1002-0179.201708198 Copy

1.	张国强, 杨波, 茅凯黎, 等. 隐匿型阴茎的分型及处理原则. 临床泌尿外科杂志, 2003, 1(8): 34-35.
2.	Cimador M, Catalano P, Ortolano R, et al. The inconspicuous penis in children. Nat Rev Urol, 2015, 12(4): 205-215.
3.	Valioulis IA, Kallergis IC, Ioannidou DC. Correction of concealed penis with preservation of the prepuce. J Pediatr Urol, 2015, 11(5): 259.e1-259.e4.
4.	Bergeson PS, Hopkin RJ, Bailey RB Jr, et al. The inconspicuous penis. Pediatrics, 1993, 92(6): 794-799.
5.	方陈. 手术治疗隐匿型阴茎临床分析(附42例报告). 中外医疗, 2012, (28): 73, 75.
6.	张鑫圣, 刘世雄, 项雪燕, 等. 阴茎阴囊交界处切口联合Devine术治疗中重度小儿阴茎隐匿性阴茎. 中华男科学杂志, 2014, 20(4): 338-341.
7.	Srinivasan AK, Palmer LS, Palmer JS. Inconspicuous penis. Sci World J, 2011, 11: 2559-2564.
8.	Oh CY, Lee HY, Hong CH, et al. Longterm outcome and parent’s satisfaction afer the correction of concealed penis. J Pediatr Urol, 2009, (1): 58-63.
9.	魏辉, 梅骅. 隐藏阴茎的外科治疗//闵志廉. 泌尿外科手术学. 北京: 人民卫生出版社, 2008: 533-537.
10.	陈于明. 隐匿阴茎问题的再认识. 中华小儿外科杂志, 2000, 21(6): 379-380.
11.	Elder JS. Abnormalities of the genitalia in boys and their surgical management. (2007-01-01)[2017-11-01]. https://www. researchgate.net/publication/292473935_Abnormalities_of_the_genitalia_in_boys_and_their_surgical_management.
12.	lsik D, lsik Y, Peker E, et al. Buried and trapped penis: a case report. Andrologia, 2010, 42(4): 281-283.
13.	杨天佑, 苏诚. 儿童阴茎显露不良的诊治进展. 新医学杂志, 2011, 42(5): 344-347.
14.	Sivakumar B, Brown AA, Kangesu L. Circumcision in " buried penis” - a cautionary tale. Ann R Coll Surg Engl, 2004, 86(1): 35-37.
15.	Lee T, Suh HJ, Han JU. Correcting congenital concealed penis: new pediatric surgical technique. Urology, 2005, 65(4): 789-792.
16.	蒋先镇. 小儿阴茎显露异常的手术治疗. 临床小儿外科杂志, 2002, 1(1): 273, 275.
17.	车文骏, 何小舟, 解斯杰, 等. 改良Devine术治疗隐匿型阴茎. 中华男科学, 2000, 6(4): 273, 275.
18.	Maizels M, Zaontz M, Donovan J, et al. Surgical correction of the buried penis: description of a classification system and a technique to correct the disorder. J Urol, 1986, 136(1 Pt 2): 268-271.
19.	Chopra CW, Ayoub NT, Bromfield C, et al. Surgical management of acquired (cicatricial) buried penis in an adult patient. Ann Plast Surg, 2002, 49(5): 545-549.
20.	Chin T, Tsai H, Liu C, et al. Modifications of preputial unfurling to reduce postoperative edema in buried penis. J Pediatr Urol, 2005, 1(5): 327-329.
21.	Chu CC, Chen YH, Diau GY, et al. Preputial flaps to correct buried penis. Pediatr Surg Int, 2007, 23(11): 1119-1121.
22.	Borsellino A, Spagnoli A, Vallasciani S, et al. Surgical approach to concealed penis: technical refinements and outcome. Urology, 2007, 69(6): 1195-1198.
23.	Brisson P, Patel H, Chan M, et al. Penoplasty for buried penis in children report of 50 cases. J Pediatr Surg, 2001, 36(3): 421-425.
24.	黄一东, 曾莉, 黄桂, 等. 带蒂岛状包皮内板阴茎成形术治疗先天性重型蹼状阴茎. 中国修复重建外科杂志, 2016, 30(11): 1387-1390.
25.	Demaria J, Abdulla A, Pemberton J, et al. Are physicians performing neonatal circumcisions well-trained?. Can Urol Assoc J, 2013, 7(7/8): 260-264.
26.	Abbas M, Liard A, Elbaz F, et al. Outcome of surgical management of concealed penis. J Pediatr Urol, 2007, 3(6): 490-494.

1. 张国强, 杨波, 茅凯黎, 等. 隐匿型阴茎的分型及处理原则. 临床泌尿外科杂志, 2003, 1(8): 34-35.
2. Cimador M, Catalano P, Ortolano R, et al. The inconspicuous penis in children. Nat Rev Urol, 2015, 12(4): 205-215.
3. Valioulis IA, Kallergis IC, Ioannidou DC. Correction of concealed penis with preservation of the prepuce. J Pediatr Urol, 2015, 11(5): 259.e1-259.e4.
4. Bergeson PS, Hopkin RJ, Bailey RB Jr, et al. The inconspicuous penis. Pediatrics, 1993, 92(6): 794-799.
5. 方陈. 手术治疗隐匿型阴茎临床分析(附42例报告). 中外医疗, 2012, (28): 73, 75.
6. 张鑫圣, 刘世雄, 项雪燕, 等. 阴茎阴囊交界处切口联合Devine术治疗中重度小儿阴茎隐匿性阴茎. 中华男科学杂志, 2014, 20(4): 338-341.
7. Srinivasan AK, Palmer LS, Palmer JS. Inconspicuous penis. Sci World J, 2011, 11: 2559-2564.
8. Oh CY, Lee HY, Hong CH, et al. Longterm outcome and parent’s satisfaction afer the correction of concealed penis. J Pediatr Urol, 2009, (1): 58-63.
9. 魏辉, 梅骅. 隐藏阴茎的外科治疗//闵志廉. 泌尿外科手术学. 北京: 人民卫生出版社, 2008: 533-537.
10. 陈于明. 隐匿阴茎问题的再认识. 中华小儿外科杂志, 2000, 21(6): 379-380.
11. Elder JS. Abnormalities of the genitalia in boys and their surgical management. (2007-01-01)[2017-11-01]. https://www. researchgate.net/publication/292473935_Abnormalities_of_the_genitalia_in_boys_and_their_surgical_management.
12. lsik D, lsik Y, Peker E, et al. Buried and trapped penis: a case report. Andrologia, 2010, 42(4): 281-283.
13. 杨天佑, 苏诚. 儿童阴茎显露不良的诊治进展. 新医学杂志, 2011, 42(5): 344-347.
14. Sivakumar B, Brown AA, Kangesu L. Circumcision in " buried penis” - a cautionary tale. Ann R Coll Surg Engl, 2004, 86(1): 35-37.
15. Lee T, Suh HJ, Han JU. Correcting congenital concealed penis: new pediatric surgical technique. Urology, 2005, 65(4): 789-792.
16. 蒋先镇. 小儿阴茎显露异常的手术治疗. 临床小儿外科杂志, 2002, 1(1): 273, 275.
17. 车文骏, 何小舟, 解斯杰, 等. 改良Devine术治疗隐匿型阴茎. 中华男科学, 2000, 6(4): 273, 275.
18. Maizels M, Zaontz M, Donovan J, et al. Surgical correction of the buried penis: description of a classification system and a technique to correct the disorder. J Urol, 1986, 136(1 Pt 2): 268-271.
19. Chopra CW, Ayoub NT, Bromfield C, et al. Surgical management of acquired (cicatricial) buried penis in an adult patient. Ann Plast Surg, 2002, 49(5): 545-549.
20. Chin T, Tsai H, Liu C, et al. Modifications of preputial unfurling to reduce postoperative edema in buried penis. J Pediatr Urol, 2005, 1(5): 327-329.
21. Chu CC, Chen YH, Diau GY, et al. Preputial flaps to correct buried penis. Pediatr Surg Int, 2007, 23(11): 1119-1121.
22. Borsellino A, Spagnoli A, Vallasciani S, et al. Surgical approach to concealed penis: technical refinements and outcome. Urology, 2007, 69(6): 1195-1198.
23. Brisson P, Patel H, Chan M, et al. Penoplasty for buried penis in children report of 50 cases. J Pediatr Surg, 2001, 36(3): 421-425.
24. 黄一东, 曾莉, 黄桂, 等. 带蒂岛状包皮内板阴茎成形术治疗先天性重型蹼状阴茎. 中国修复重建外科杂志, 2016, 30(11): 1387-1390.
25. Demaria J, Abdulla A, Pemberton J, et al. Are physicians performing neonatal circumcisions well-trained?. Can Urol Assoc J, 2013, 7(7/8): 260-264.
26. Abbas M, Liard A, Elbaz F, et al. Outcome of surgical management of concealed penis. J Pediatr Urol, 2007, 3(6): 490-494.

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儿童阴茎显露异常的分型及外科诊治

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