金属环致阴茎嵌顿的处理及体会

• 作 者: 张志强
• 机 构: 肇庆学院医院,
• 出 处: 深圳中西医结合杂志
• 发表日期: 2017年13期
• 关键词: 阴茎嵌顿 金属环 阴茎绞窄 尿道扩张器 阴茎皮肤 膀胱穿刺 阴茎背 排尿困难 第三个人 留置导尿管

目的:探讨金属环致阴茎嵌顿的治疗方法。方法:膀胱穿刺抽出尿液,一人用尿道扩张器的扁平柄部伸入金属环与阴茎皮肤之间,另一人固定绝缘剪口在金属环3点处,第三个人站于高位操作剪柄,剪断金属环,同法剪断金属环9点处,最后用老虎钳向上下方移除金属环。留置导尿管。结果:术后阴茎血流恢复,随访阴茎外观、排尿、勃起功能均正常。结论:严密保护下消防绝缘剪直接剪断金属环是治疗金属环阴茎嵌顿有效、简便、实用的方法。

Objective: To explore the treatment of metal ring induced penile incarceration. Methods: Bladder puncture out of urine, one with a flat handle of the urethral dilator stretched between the metal ring and the penis skin, another person fixed insulation notch at the metal ring at 3 o’clock, the third person standing high handle scissors, Cut the metal ring, the same method cut the metal ring at 9 o’clock, and finally use the vice to remove the metal ring up and down. Indwelling catheter. Results: Postoperative penile blood flow recovery, follow-up penile appearance, urination, erectile function were normal. Conclusion: It is an effective, simple and practical method to treat the metal ring incarcerated by clipping the metal ring tightly under the fire protection insulation cut.