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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 study the treatment of simple penile deformity, to explore the choice of surgical methods and prevention and treatment of complications. Methods The penile detachment, urethral loosening and white fold folding suture in the treatment of simple penile curvature in 26 cases. The average age was 14 years, including 14 cases of type Ⅱ and 12 cases of type Ⅲ. Three patients were completely straightened only after the penis was detached and the urethra was loosened. The other 23 cases were treated by folding and suturing the penis albuginea. All patients were supplemented with Baidu Bang Ointment to prevent infection. Results The operation of 26 cases in this group were successful and were discharged from 7 to 10 days after operation. Of which 25 cases of primary healing, 1 patient because of misuse of alcohol scrub and burns the penis incision, coated with more than one state in January postponed healing. The average follow-up observation of 54 months, all patients with satisfactory correction of penile curvature, erectile function was normal, no recurrence, without secondary surgery. Conclusions The penile decapsulation, urethral loosening and penile albuginea folding suture are effective in the treatment of simple penile deformity, and can be used as the basic treatment for simple penile deformity. According to the type and severity of penile curvature or choose the appropriate surgical procedures, correction of penile curvature to ensure penile length and erectile function. Apply more than 100 state ointment can prevent infection and reduce complications.