摘要
目的研究单纯性阴茎弯曲畸形的治疗方法,探讨其手术方式的选择及并发症的防治。方法采用阴茎脱套、尿道松解及白膜折叠缝合术治疗单纯性阴茎弯曲26例。平均年龄14岁,其中Ⅱ型14例,Ⅲ型12例。有3例患者仅予阴茎脱套及尿道松解后便已完全矫直,另23例则需联合阴茎白膜折叠缝合术治疗,术后均辅以百多邦软膏预防感染。结果本组26例手术均获成功,术后7~10 d出院。其中25例一期愈合,1例患者因误用乙醇擦洗而灼伤阴茎切口,涂以百多邦1月后延期愈合。平均随访观察54个月,全部患者阴茎弯曲矫正满意,勃起功能正常,未见复发,无需二次手术。结论阴茎脱套、尿道松解联合阴茎白膜折叠缝合术对单纯性阴茎弯曲畸形疗效确切,可作为单纯性阴茎弯曲畸形的基本治疗方法。根据阴茎弯曲的类型及严重程度选择或联合适当的术式,可矫正阴茎弯曲,保证阴茎长度及勃起功能。术后涂以百多邦软膏能很好地预防感染,减少并发症。
Objective To investigate the management of congenital simple penile curvature,exploring the choice of surgical approaches and the prevention of complications.Methods Degloving of penile shaft,urethral remission and albuginea fold suture were performed in 26 cases of simple penis deformity,including 14 cases of typeⅡand 12 cases of type Ⅲ.The patients’average age was 14 years.All patients used Bactroban to prevent infection after operation. Results All patients were successfully operated on and discharged from hospital 7 d^10 d after operation.Of them, 25 cases recovered after the first session,1 case burned his wound by alcohol and recovered 1 month later. During the follow-up of 54 months,all penis were completely straight without any recurrence,and none needed a second opera-tion.Conclusion The degloving of penile shaft,urethral remission combined with albuginea fold suture is effective for patients with congenital islated penile curvature.It is advisable to select the appropriate surgical procedure according to the type and severity of penile curvature,thus to ensure the length and erectile function of the penis.Bactroban ointment used postoperatively is a good way to prevent infection.
出处
《山东大学学报（医学版）》
CAS
北大核心
2014年第10期86-89,共4页
Journal of Shandong University:Health Sciences
