阴茎折断4例报告并文献复习

Penile Fracture： Report of 4 Cases and Review of Literatures

目的：报告4例阴茎折断，并对其诊断、治疗和预后进行文献复习，以提高对阴茎折断的认识水平。方法：回顾性分析4例阴茎折断患者的临床资料，结合国内、外文献对其病理、临床表现、诊断、治疗和预后进行探讨。其中3例通过临床表现确诊，1例通过超声波检查确诊。4例均急诊行阴茎血肿清除加白膜修补术。结果：术后随访2—120月，平均81个月，阴茎外观正常，性生活满意，无阴茎弯曲、痛性勃起、尿道狭窄等并发症。结论：阴茎折断临床罕见，粗暴性交为其主要病因，多伴有典型病史，急诊手术效果佳，并发症低，为阴茎折断的最佳治疗方法。

Objective：To improve the understanding of penile fracture, 4 penile fracture cases were reported, the diagnosis, management and prognosis of penile fracture were reviewed. Methods： The clinical data of 4 patients were retrospectively analyzed. Combined with the domestic and foreign literature, the pathological features, clinical features, diagnosis, management and prognosis of penile fracture were evaluated. 3 cases diagnosed through clinical performance, one case diagnosed through ultrasound. 4 cases had emergency surgery. Resuits ：3 cases were diagnosed clinically, and one ease was confirmed through the ultrasound. After being given immediate surgical exploration totally, they were followed in our clinic for a mean of 81 months （ranging from 2 to120 months）. Patients generally showed a very good outcome without complications, such as the penile deviation, painful erection, ED and urethral stricture. Conclusions： Penile fracture is relatively uncommon in our clinic work. The prime cause is vigorous sexual intercourse and the diagnosis is usually fairly straightforward because of the stereotypical clinical presentation. Prompt surgical intervention is the first choice to decrease the rate of complications and get better therapeutic effects.