阴茎折断临床分析

Clinical analysis of penile fracture

目的 探讨阴茎折断伤的病因和诊治。方法 对 2 1例阴茎折断伤的临床资料进行回顾性分析。结果 致伤原因以粗暴性交 13例 ,手淫 5例 ,跌伤、撞击伤各 1例 ,拒绝说明原因 1例。B超确诊 12例 ,阴茎海绵体造影确诊 1例。 12h内手术 13例 ,超过 12h手术 3例 ,保守治疗 5例。 12h内手术组有 2例发生阴茎白膜硬结 ,术后性功能正常 ;超过 12h手术组和保守治疗组各有 1例和 2例并发阴茎硬结、阴茎成角畸形和勃起功能障碍。结论 阴茎折断致伤原因以粗暴性交和手淫为主 ;B超检查是诊断阴茎折断首选方法 ;早期手术能减少其并发症的发生 ;术中采用纵行小切口容易准确找到白膜破裂位置 ,且创伤小 ,适于临床应用。

Objective To evaluate the etiology, diagnosis and treatment of penile fracture. Methods 21 patients with penile fracture were retrospectively reviewed. Results The main causes of penile fracture were excessive force at coitus and masturbation. 12 cases were diagnosed by ultrasonography and 1 case by cavernosography. Disrupt of tunica albuginea was easily and accurately found with alongitudinal incision. 13 cases were operated in 12 hrs after injury and 3 cases were operated after 12 hrs. 5 cases were conservatively treated. 2 cases who were operated in 12 hrs after injury were complicated with tunica albugineous scleroma, but their sexual functions were normal. 1 case who was operated after 12 hrs and 2 cases who were conservatively treated were complicated with tunica albugineous scleroma, penile angulation deformity and astyphia.Conclusion The main causes of penile fracture were excessive force at coitus and masturbation. Ultrasonography was the first option for diagnosing penile fracture. Operation on early stage could reduce complications. Disrupt of tunica albuginea was easily and accurately found with alongitudinal incision which had less trauma and was suited for clinic practice.