闭合性阴茎海绵体破裂的诊断与治疗

Diagnosis and treatment of closed fracture of corpus cavernosum penis

目的：探讨闭合性阴茎海绵体破裂的诊断及治疗。方法回顾性分析诊断的26例阴茎海绵体破裂的临床资料。结果26例年龄22~55岁，平均35.6岁。24例患者立即采用手术治疗，清除血块，缝合阴茎白膜裂口。其中8例为右侧海绵体破裂，12例为左侧海绵体破裂，4例为双侧海绵体破裂，4例同时合并尿道海绵体破裂。手术患者术后均未发生海绵体纤维化、阴茎弯曲或畸形、痛性勃起、阴茎硬结等并发症，性功能均正常。2例保守治疗者其中1例发生痛性勃起，1例发生勃起功能障碍。患者随访12~24个月。结论闭合性阴茎海绵体破裂的临床特征明显，容易诊断，早期急诊手术治疗是首选，效果好，并发症少，可以使患者阴茎功能早日恢复。

Objective To investigate the diagnosis and treatment of closed rupture of corpus cavernosum penis.Methods Clinical data of 26 cases withclosed fracture of penis were reviewed retrospectively. Results Average age of the patients was 35.6 （22~55） years old was. There were 8 cases with right corpus cavernosum rupture, 12 cases with left corpus cavernosum rupture, 4 cases with both sides corpus cavernosum rupture, and 4 cases incoperation with urethrae corpora cavernosum rupture. 24 cases with closed fracture of penis were operated as blood clot removing, suturingthe split of penis white film by gut suture . All the patients recovered. 1 case of pain following erection and 1 erection dysfunction. 26 cases were followed-up for 12~24 months. Conclusion The confirmed diagnosis of closed fracture of penis can be made according to the medical history and physical sign .Operation is the first choice with quick recovering, better effect and less complication .