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目的:提高对阴茎弯曲诊断和治疗的水平。方法:选取22例阴茎弯曲患者,并采用回顾性分析方式对其矫形术、术后并发症作详细的分析。其中有16例为先天性阴茎弯曲类型的患者,6例继发性阴茎弯曲的患者,前者采用阴茎皮肤袖状脱套和可吸收缝线单纯阴茎白膜折叠术矫形弯曲进行治疗,而后者则采用斑块切除和膀胱粘膜补片矫正阴茎弯曲的方式。结果:在经过手术治疗后,20例患者取得确切的疗效,且无血肿、尿瘘、感染、阴茎感觉改变、勃起疼痛以及勃起功能障碍的出现,其术后矫正率为90.9%。其中术后矫正阴茎稍弯曲小于15°和术后阴茎缩短约2cm的患者个1例。结论:在阴茎弯曲治疗中,根据患者阴茎弯曲的程度,选择合理的手术方式,可以确切矫正阴茎弯曲,从而保证患者的勃起功能以及阴茎的长度。
Objective: To improve the diagnosis and treatment of penile curvature. Methods: Twenty-two patients with penile curvature were selected and analyzed retrospectively for their orthopedic and postoperative complications. Sixteen of them were patients with congenital penile curvature and six patients with secondary penile curvature. The former was treated with penile skin sleeve-shaped debridement and absorbable sutures with simple penile fold-folding surgery, while the latter Plaque removal and bladder mucosal patch correction of penile curvature. Results: After surgical treatment, 20 patients achieved the exact curative effect without hematoma, urinary fistula, infection, penile sensation, erectile dysfunction and erectile dysfunction. The corrected rate was 90.9%. One postoperative correction penis slightly curved less than 15 ° and penis shortened about 2cm in 1 patient. Conclusion: In the treatment of penile curvature, according to the degree of penile curvature of patients, choose a reasonable surgical approach, you can accurately correct penile curvature to ensure that patients with erectile function and penile length.