论文部分内容阅读
Peyronic病亦称阴茎硬结症、纤维性海绵体炎、阴茎纤维组织炎或阴茎纤维瘤样病。临床上较少见,我院收治1例,现予报告。患者,男,50岁。2年前发现阴茎勃起时向左侧弯曲,且于阴茎中段左侧可扪及一黄豆大小之硬结,局部微痛。因弯曲角度逐渐增大,勃起时疼痛加重,性生活困难就诊。体检:阴茎大小正常,于左侧海绵体中段及左侧阴茎脚部,可分别扪及两枚约0.8×1.6cm,0.8×1.2cm之硬结,轻度触痛。以酚妥拉明、盐酸罂粟碱混合液行阴茎海绵体注射,使阴茎充分勃起,即见阴茎中段向左侧成角畸形约100°,阴茎根部略向左侧偏斜。临床诊断为Peyronie病。经给维生素E胶丸(100mg,每日3次),饱和碘化钾液(5滴,每日1次口服),阴茎硬结处强的松龙局部封闭等治疗未见明显好转,即行Nesbit术矫正。
Peyronic disease is also known as penile sclerosis, fibrosangitis, penile fibrositis or penile fibromatosis. Clinically rare in our hospital admitted to a case, is a report. Patient, male, 50 years old. 2 years ago found penile erection bent to the left, and left in the middle of the penis palpable and a size of the induration of soybeans, local slight pain. Increased due to the bending angle, increased pain when erecting, sex life difficult treatment. Physical examination: normal penile size, in the left side of the middle of the cavernous and the left side of the penis, palpable, respectively, about 0.8 × 1.6cm, 0.8 × 1.2cm of induration, mild tenderness. Phentolamine hydrochloride, papaverine mixture of penicillin injection, the penis full erection, that is, the middle of the penis to the left angle deformity of about 100 °, the penile root slightly to the left skewed. Clinical diagnosis of Peyronie disease. After treatment with vitamin E capsules (100mg, 3 times a day), saturated potassium iodide solution (5 drops, once daily), and local closure of the penile induration of prednisolone no significant improvement, that line Nesbit surgery correction.