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目的报告1例阴茎脓肿病例并复习国内外文献,阐明阴茎脓肿的特点。方法结合1例阴茎脓肿病例,检索PubMed数据库、中国期刊全文数据库及万方数据知识服务平台1995年至2015年的相关资料,进行荟萃分析。结果本病例主要临床表现为阴茎痛性肿块,伴有膀胱刺激征,彩超未能确诊,穿刺肿块抽吸出脓液后行切开引流术,术后两周痊愈。荟萃分析结果表明,不洁性交、淋病、泌尿系手术是主要的风险因素,致病菌主要是奈瑟淋球菌、大肠埃希菌,临床表现主要为阴茎肿痛、发热、寒战、脓性分泌物等,多数患者由彩超确诊,抗感染及脓液引流是有效的治疗方法。结论阴茎脓肿的表现比较典型,必要时使用CT、MRI检查以确诊及明确脓肿形成的部位,对选择引流脓液的方法有重要意义。
Objective To report a case of penile abscess and review the literature at home and abroad to clarify the characteristics of penile abscess. Methods A case of penile abscess was searched and the relevant data of PubMed database, Chinese periodical full-text database and Wanfang data knowledge service platform from 1995 to 2015 were searched for meta-analysis. Results The main clinical manifestations of this case were penile painful mass with bladder irritation, ultrasonography failed to be diagnosed, and puncture and drainage of pus were performed. The incision and drainage were performed after two weeks. Meta-analysis showed that unclean sexual intercourse, gonorrhea, urological surgery is the main risk factors, pathogens are mainly Neisseria gonorrhoeae, Escherichia coli, the main clinical manifestations of penile swelling and pain, fever, chills, purulent secretion The majority of patients diagnosed by color Doppler ultrasound, anti-infection and pus drainage is an effective treatment. Conclusion The performance of penile abscess is typical, if necessary, the use of CT, MRI examination to confirm and clear the formation of abscess site, the choice of drainage pus method is important.