阴茎硬化性淋巴管炎的临床特点  

The clinical characteristics of Sclerosing lymphangitis of the penis

作　　者：赵俊峰 潘世杰 李豪 肖耀军[2] 杨旭凯[3] 孙继建 张林超 李亚果 李振东 宋悦 单静茹 李秀丽 韦纯葆 ZHAO Jun-Feng;PAN Shi-Jie;LI Hao(Department of Urology, Henan Traditional Chinese Medicine Hospital, Second Affiliated Hospital of Henan University of Traditional Chinse Medicine,Zhengzhou 450002, China;Department of Urology, Guangdong Genral Hospital of Armed Police, Guangzhou 510507,China;Department of Urology, Lanzhou Military Region General Hospital, Lanzhou 730000,China)

机构地区：[1]河南省中医院河南中医药大学第二附属医院泌尿外科,河南郑州450002 [2]武警广东总队医院泌尿外科,广东广州510507 [3]兰州军区总医院泌尿外科,甘肃兰州730000

出　　处：《吉林医学》2018年第12期2330-2331,共2页Jilin Medical Journal

摘　　要：目的:探讨阴茎硬化性淋巴管炎的临床特点。方法:对27例以及复习1990年以后文献记载的阴茎硬化性淋巴管炎共608例的资料进行总结,分析患者的年龄、病程、主诉、病变的好发部位及形状、相关病史、合并症、辅助检查、治疗方法和效果、病理和随访情况。结果:患者年龄11～75岁,平均32岁;临床多数主诉为无意发现索状肿块387例;好发部位:阴茎背侧及冠状沟218例;常见形状:弯曲、蚯蚓装、条索状371例;病程3 d～3年,平均278 d;多数病史为频繁性生活史155例;多见合并症为念珠菌性包皮龟头炎22例;实验室检查无特别发现;治疗方法十余种,最常用方法为手术和/或药物312例,自愈50例;未做病理检查366例,病理检查阳性111例,阴性42例;随访半年治愈513例,复发17例,其他失访。结论:阴茎硬化性淋巴管炎的发病除严重外伤外未有特定因素、阴茎背部坚硬条索样肿物是主要特点,治疗效果良好,关键是提高对本病的认识。Objective To investigate the clinical characteristics of Sclerosing lymphangitis of the penis. Method The data of27 cases of penile sclerosing lymphangitis and 608 cases of penile sclerosing lymphangitis after 1990 were reviewed. And the patients age,course of disease,chief complaint,the location and shape of the lesion,related medical history,complications,auxiliary examination,treatment method and effect were analyzed,pathology and follow-up. Results Age 11 ~ 75 years old,average 32 years old; the majority of complaints were unintentional stripe mass( 387 cases); predilection sites: 218 cases of dorsal penile and coronal sulcus,the common shapes were curvature,earthworm and coronal sulcus in 371 cases; duration 3 days ~ 3 years,an average of 278 days; most of the patients had a history of frequent life history of 155 cases; the most common complication was candidal balanoposthitis in 22 cases; no special laboratory findings were found; more than 10 kinds of treatment,the most common method is surgery and/or drugs 312 cases,self-healing 50 cases,no pathological examination 366 cases,pathological examination 111 cases,negative 42 cases; follow-up half a year cured 513 cases,recurrence 17 cases,other lost visits. Conclusion There is no specific factor but severs injury in the pathogenesis of sclerosing lymphangitis of the penis,and the rigid stripe-like mass in the back of the penis is the main feature. The curative effect is good,the key is to improve the understanding of the disease.

关 键 词：阴茎 硬化性琳巴管炎 临床特点 

分 类 号：R697.1[医药卫生—泌尿科学]