阴茎异物嵌套的处理和性心理分析  

Treatment of penile strangulation and sexual psychological analysis of the patients

作　　者：甘卫东[1] 郭宏骞[1] 曾令奇[1] 连惠波[1] 姚林方[1] 屈峰[1] 燕翔[1] 

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,江苏南京210008

出　　处：《中华男科学杂志》2011年第6期535-537,共3页National Journal of Andrology

摘　　要：目的:探讨阴茎异物嵌套的处理方法并分析引起异物嵌套的性心理因素。方法:回顾性分析阴茎嵌套患者解除异物的经验。21例患者,年龄19~61岁,嵌套时间为10 h^14 d,嵌套物为金属或塑料环状物。结果:5例患者在阴茎涂抹润滑油后直接取下嵌套物;4例患者嵌套使用10号注射针头行双侧阴茎海绵体放血后,涂抹润滑油取下嵌套物;8例患者使用老虎剪直接剪断嵌套物;2例患者使用牙科钻切断嵌套物;2例严重嵌套者,嵌套异物为轴承等坚硬物质,在腰麻下将嵌套远端阴茎皮肤脱套至冠状沟处,同时使用10号注射针头行阴茎海绵体放血后取出。结论:处理阴茎异物嵌套应该从简单到复杂的操作开始尝试,对于那些难以切割的异物,可以采用阴茎脱套术,但需注意阴茎皮瓣的存活情况。Objective： To find the best treatment of penile strangulation and to analyze the sexual psychological factors of the patients.Methods： We retrospectively analyzed the experiences in removing foreign objects around the penis in 21 patients aged 19-61 years with the strangulation time varying from 10 hours to 4 days.The objects were mostly made of metal or plastics.Results： All the objects were successfully removed,5 of them with the help of lubricant,4 by aspirating the corpus cavernosum,8 by snipping with pliers,2 with the diamond-tipped dental drill,and the other 2,which virtually defied cutting,by aspirating the corpus cavernosum following degloving surgery.Conclusion： In removing foreign objects around the penis,simpler methods should be given precedence over more complex ones,and for those that virtually defy cutting,the best option is degloving surgery with particular attention to the survival of the penile skin flap.

关 键 词：阴茎绞窄 异物 阴茎脱套术 皮瓣 性心理 

分 类 号：R697.1[医药卫生—泌尿科学]