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目的:总结阴茎折断的手术治疗策略和技巧,评价临床效果。方法:回顾2000年2月～2010年4月8例阴茎折断病例资料,均手术治疗。结果:8例均于术后第7天拆线出院。随访1～3年,无勃起不坚、勃起弯曲、勃起疼痛及皮下硬结等并发症,性交满意。结论:阴茎折断可行海绵体造影、B超可以明确破裂部位,帮助判断是否有对侧海绵体或尿道的损伤。可取局部适宜的切口,同时修补双侧阴茎海绵体及尿道海绵体。用可吸收线缝合海绵体白膜及Buck筋膜,可减少术后硬结的发生。
Objective: To summarize the surgical treatment strategies and techniques of penile fracture and evaluate the clinical effect. Methods: From February 2000 to April 2010 8 cases of penile fracture cases were treated surgically. Results: All 8 patients were discharged on the 7th day after operation. Follow-up 1 to 3 years, no erection not strong, erectile flexion, erectile pain and subcutaneous induration and other complications, sexual intercourse satisfaction. Conclusion: Penile fracture feasible cavernous angiography, B-ultrasound can clearly rupture, to help determine whether contralateral sponge or urethral injury. Desirable local suitable incision at the same time repair both sides of the penis and urethral sponge. With absorbable suture sponge white membrane and Buck fascia, can reduce the incidence of postoperative induration.