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目的探讨阴茎折断的诊断与治疗方法。方法14例阴茎折断患者,10例采用半环行小切口、3例采用冠状沟近侧环行切口行阴茎血肿清除加白膜修补术,1例保守治疗。结果14例随访1~4年,13例阴茎无勃起不坚、勃起弯曲、勃起疼痛,性生活满意,无尿道狭窄,1例保守治疗者伤后2年阴茎局部可扪及硬结,但性功能基本正常。结论阴茎折断诊断不难,B超检查可准确定位白膜损伤部位及裂伤口大小,手术治疗是首选方法,疗效满意,改良小切口修补术具有简单、创伤小、手术时间短的优点,值得临床推广。
Objective To investigate the diagnosis and treatment of penile fracture. Methods 14 patients with penile fracture, 10 patients with small circular incision, 3 patients underwent circumferential canal incision with coronoid dacryocystorhinostomy plus white repair, a conservative treatment. Results 14 cases were followed up for 1 to 4 years. Thirteen patients with penile erection had no erection, erectile ache, erectile pain, sexual life satisfaction and no urethral stricture. One case of conservative treatment had penile local palpable and induration 2 years after injury, but sexual function Basically normal. Conclusion The diagnosis of penile fracture is not difficult. B-ultrasound can accurately locate the lesion site and the size of the wound. Surgical treatment is the first choice and the curative effect is satisfactory. The modified small incision repair has the advantages of simple, less trauma and shorter operation time. Promotion.