阴茎异物嵌套处理(附3例报道)

The Treatment of Penile Strangulation(Report of Three Cases)

目的探讨阴茎异物嵌套的处理方法。方法回顾性分析3例阴茎异物嵌顿患者解除异物的方法。结果 1例患者在阴茎涂抹润滑油后直接取下嵌套物;1例患者行阴茎海绵体放血后,同时远端涂抹润滑油取下嵌套物;1例患者嵌套异物为钢制轴承,在腰麻下将嵌套远端阴茎皮肤脱套至冠状沟处,同时远端挤压后取出。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,对于难以取出的坚硬的异物,可以采用阴茎脱套术进行处理,但需注意保护阴茎皮瓣血运,防止坏死。

Objective To find the best treatment of penile strangulation.Methods We retrospectively analyzed the experiences in removing foreign objects around the penis in 3 patients.Results All the objects were successfully removed,1 of them with the help of lubricant only,1 by aspirating the corpus cavernosum,and the other 1,which virtually defied cutting,by degloving surgery.Conclusions 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 way is degloving surgery with particular attention to the blood supply of the penile skin flap.