闭合性阴茎海绵体破裂的诊治  

Diagnosis and treatment of corpus cavernosum penis rupture

作　　者：车乐[1] 杨冬泉[2] 孙文学[2] 丁冠英[2] 张彦虎[2] 聂增尧[2] 

机构地区：[1]首都医科大学附属北京朝阳医院泌尿外科,100020 [2]北京市昌平区医院泌尿外科

出　　处：《中华全科医师杂志》2010年第12期859-860,共2页Chinese Journal of General Practitioners

摘　　要：对我院2005年1月至2009年11月收治的16例闭合性阴茎海绵体破裂患者的临床资料进行回顾性分析。其中性交时损伤12例，手淫损伤2例，骑车摔倒损伤1例，其他损伤1例。所有患者通过病史和检查明确海绵体破裂诊断。行阴茎纵行切开探查术7例，冠状沟部环行皮肤套脱手术9例。术后3个月进行复查随访，述勃起功能良好11例，勃起疼痛不适2例，异常勃起1例，失访2例。性交体位不当是闭合性阴茎白膜破裂的主要原因。提示冠状沟部环行皮肤套脱手术是治疗闭合性阴茎白膜破裂的有效方法。The clinical data of 16 patients with rupture of corpus cavernosum penis were retrospectively reviewed. The patients were referred to the Department of Urology from January 2005 to November 2009. The causes of penile injury were trauma due to sexual intercourse （ 12 cases） , trauma due to masturbatory （2 cases） , traffic accidents （1 case） and others （1 case）. All patients received immediate surgical treatment; 14 out of 16 patients were followed up for a mean period of 3 months. Sexual function was recovered with satisfactory erection in 11 patients, 3 patients complained pain or uncomfortableness during erection. Sexual trauma was the main cause of penile fracture. Immediate intervention for penile fracture can achieve satisfactory early and late results.

关 键 词：阴茎疾病 创伤和损伤 

分 类 号：R699[医药卫生—泌尿科学]