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目的 :探讨阴茎折断的病因和临床特征 ,比较手术或保守治疗的临床效果。 方法 :4例闭合性阴茎折断病人 ,3例急诊开放手术清除血凝块 ,修补白膜裂口 ,1例保守治疗。 结果 :手术病人探查白膜裂口 1.0～ 1.5cm ,经 2～ 5年随访 ,阴茎勃起坚硬 ,无弯曲或畸形 ,性生活满意 ,保守治疗者伤后 1.5年后阴茎局部可扪及硬结 ,性功能基本正常。 结论 :阴茎折断临床特征明显 ,容易诊断 ,应用超声影像或海绵体造影则可准确定位白膜损伤部位与伤口大小 ,指导手术或作保守治疗。手术治疗效果佳 ,创伤小 ,应作首选治疗手段。
Objective: To investigate the etiology and clinical features of penile fracture and to compare the clinical effects of surgery or conservative treatment. Methods: 4 cases of closed penile fracture patients, 3 cases of open surgery to remove blood clots, repair of albuginea, 1 case of conservative treatment. Results: Surgical patients probed for the rupture of the tunica albuginea at 1.0 ~ 1.5 cm. After 2 to 5 years of follow-up, the penile erection was hard, without bending or deformity, and the sexual life was satisfactory. The penile local palpable palpable induration and conservative function after conservative treatment were 1.5 years Basically normal. Conclusion: The clinical features of penile fracture are obvious and easy to diagnose. Ultrasound imaging or cavernous angiography can accurately locate the lesion site and wound size, guide surgery or make conservative treatment. Surgical treatment of good results, trauma, should be the preferred treatment.