11例闭合性阴茎海绵体破裂的诊治.doc

文档介绍：11例闭合性阴茎海绵体破裂的诊治
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作者:梁培禾,李彦锋,张克勤,聂志林,孙中义,靳风烁
【摘要】目的总结外伤性阴茎海绵体破裂的诊断与治疗。方法回顾性分析我院2000~2009年收治的11例阴茎海绵体破裂患者的临床资料。结果 11例均急诊行白膜修补手术治疗,术后随访2~26个月,发生1例阴茎勃起后疼痛、1例尿道狭窄、1例勃起功能障碍,均经恰当的治疗后在不同的时间内得以恢复。结论急诊手术是外伤性阴茎海绵体破裂恰当的治疗方法。
【关键词】海绵体;阴茎;创伤
Abstract: Objective To summarize the diagnosis and treatment methods for traumatic rupture of the corpus Data on 11 patients with traumatic rupture of the corpus cavernosum,who admitted to our hospital in 20002009 years,were retrospectively All the 11 cases underwent immediate surgical postoperative followup time was 226 was 1 case of pain following erection,1 urethral stricture and 1 erection dysfunction,but they recovered essfully in the Immediate surgical intervention is a mended method for traumatic rupture of the corpus cavernosum.
Key words:rupture of the corpus cavernosum;penis;injury
闭合性阴茎海绵体破裂是临床上少见的男性外生殖器损伤。我院自2000~2009年共收治11例患者,均行早期急诊手术治愈,报告如下。
临床资料
1 一般资料
本组11例男性;年龄28~47岁,。已婚9例,未婚2例。致伤原因:粗暴性交8例,硬物砸伤1例,骑跨伤1例,斗殴致伤1例。9例在勃起状态下折断。受伤至就诊时间1~24小时,平均10小时。临床表现为在突然的外力作用下,阴茎突发剧烈疼痛,迅速肿胀淤血,皮肤青紫,11例均出现明显阴茎侧弯畸形,不伴排尿困难及尿道口出血。
2 治疗方法
所有患者均完善必要的准备后进行急诊手术。麻醉方式为静脉麻醉2例,椎管麻醉8例,利多卡因阴茎根部阻滞麻醉1例。首先根据术前体检观察阴茎弯曲方向选择切口位置,于弯曲背侧肿胀最明显处横行切开皮肤,3例为半周切口,其余8例为1周环行切口,仔细清除血肿,并分离直至阴茎海绵体白膜寻找裂口。术中可见11例均为单侧阴茎海绵体横向破裂,~,裂口处距