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目的提高对阴茎海绵体破裂的诊断和治疗水平。方法 11例阴茎海绵体破裂患者,10例行急诊手术治疗,1例保守治疗。结果 10例患者随访12～24个月,7例手术治疗者未发生海绵体纤维化、阴茎弯曲或畸形、痛性勃起、阴茎硬结等并发症,1例术后发生阴茎勃起轻度弯曲及疼痛,2例术后早期勃起疼痛,后期经理疗好转,性功能均正常。结论 B超检查能较好地定位白膜破裂的部位和创口大小,早期急诊手术治疗效果好,并发症少,可以使患者阴茎功能早日恢复。
Objective To improve the diagnosis and treatment of rupture of penis. Methods 11 cases of patients with rupture of penis cavernous, 10 cases of emergency surgery, 1 case of conservative treatment. Results Ten patients were followed up for 12 to 24 months. Seven of them had no spontaneous fibrosis, penile flexion or deformity, painful erection, penile induration and other complication. One patient had mild penile erection and pain after operation , 2 cases of early postoperative erectile pain, late management improved, sexual function are normal. Conclusion B-ultrasound can better locate the site of rupture of the tunica albuginea and the size of the wound. Early emergency surgery has good curative effect and less complications, and can restore the penile function as soon as possible.