摘要
目的提高对阴茎弯曲的诊断和外科治疗水平。方法回顾性分析25例阴茎弯曲矫正术及术后并发症,其中12例为先天性阴茎弯曲患者,采用阴茎皮肤袖状脱套+可吸收缝线单纯阴茎白膜折叠术矫正弯曲;13例因阴茎硬结症导致的继发性阴茎弯曲患者,采用斑块切除+口腔颊粘膜补片术矫正阴茎弯曲。结果23例获得随访6～24个月,平均18个月,无血肿、感染、尿瘘、阴茎头感觉改变、勃起疼痛及勃起功能障碍等并发症,术后弯曲矫正率91.3%,2例术后阴茎稍弯曲(<15°),1例术后阴茎缩短约2cm,上述3例随访1年后不影响阴茎勃起及性生活质量。结论根据阴茎弯曲的严重程度,选择合理的手术方式,可矫正阴茎弯曲,保证有效的勃起功能及阴茎长度。
Objective To improve the ability of diagnosis and surgical treatment for penile curvature. Methods 12 men with congenital penile curvature （CPC） underwent tunica albuginea plication with absorbable sutures after gloving, and 13 men with Peyronie＇s disease （PD） underwent implantation of autologous buccal mucosa patch following excision of plaque. The surgical results and postoperative complications were retrospectively reviewed. Results A total of 23 patients were available of evaluation. No complications such as hematoma, infection, urethrocutaneous fistula, loss of glanular sensation or erectile dysfunction were encountered during a mean follow up of 18 months （range 6 months to 24 months）. The rate of curvature correct is 91.3% penile curvature （〈15°） was still noted in 2 cases. Conclusion According to the different severity of the patients, suitable operation can correct curvature and prsesrve erectile function and penis length.
出处
《中国男科学杂志》
CAS
CSCD
2008年第3期19-21,共3页
Chinese Journal of Andrology
