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目的对阴茎折断病人的临床表现和治疗方法进行总结,分析手术治疗后的效果,提高该病的诊疗水平。方法1997年2月～2004年11月共诊治阴茎折断患者9例,伤后2～7h接受外科手术8例,36h手术1例。分别采用阴茎脱套式切口(7/9)和阴茎背侧正中切口(2/9)。术中阴茎海绵体白膜裂口缝合用4- 0号可吸收缝线(8/9)或0号丝线(1/9)。结果采用阴茎背侧正中切口者,寻找海绵体白膜裂口较困难,其中1例术中改为脱套式切口,7例脱套式切口均在20min内完成手术。1例用丝线缝合裂口者,性交伴有局部不适感:1例伤后36h接受手术的患者出现阴茎海绵体硬结伴痛性勃起;其余7例患者勃起功能均恢复,IIEF- 5评分为20.1分,未发现阴茎弯曲或粗大畸形。结论阴茎折断的外科手术宜采用阴茎脱套式切口,海绵体白膜裂口应选择可吸收缝线,早期手术是防治并发症的根本措施。
Objective To summarize the clinical manifestations and treatment of patients with penile fracture, analyze the effect after surgery and improve the diagnosis and treatment of the disease. Methods From February 1997 to November 2004, 9 cases of patients with penile fracture were treated, 8 cases received surgical operation 2 to 7 hours after injury, and 1 case received 36 hours operation. Penile decaploid incision (7/9) and penis dorsal median incision (2/9) were used. Intraoperebral cavernous alveolar cleft suture with 4- 0 absorbable suture (8/9) or 0 thread (1/9). Results The median dorsal penis dorsal penis, looking for cavernous alveolar rupture more difficult, of which 1 case of surgery to decapsulation incision, 7 cases of decapsulation incision were completed within 20min. One case had a sutured suture with a suture and a partial discomfort associated with sexual intercourse: 1 case had a cavernous sclerosis and a painful erection at 36 hours after injury; the remaining 7 cases recovered erectile function with a IIEF-5 score of 20.1 points , Found no penile curvature or gross deformity. Conclusions The surgical treatment of penile fracture should adopt the penis detachment incision, cavernous albuginea tear should be selected absorbable suture, early surgery is the fundamental measure to prevent complications.