[应用环后阴茎皮肤坏死及皮肤网状移植修复缺损]
[Penile skin necrosis after application of a ring and defect coverage by a skin mesh graft].
作者信息
Sommerauer M, Walden O, Doehn C, Jocham D
机构信息
Klinik und Poliklinik für Urologie, Universitätsklinikum Schleswig-Holstein (UK-SH), Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck.
出版信息
Aktuelle Urol. 2006 Sep;37(5):376-8. doi: 10.1055/s-2006-932131.
INTRODUCTION
Penile strangulations are rare and always need an individual emergency treatment. Functional impairment and loss of organ integrity are the most serious complications.
CASE REPORT
A 43-year-old man came to our ambulance with a penile skin necrosis and a penile abscess. This was caused by a heating pipe that he had put on his penis six weeks ago. We first removed the pipe and performed a necrosectomy in a second step a skin mesh graft was applied. Six months later we observed a satisfactory cosmetic and good functional result.
CONCLUSION
Even in serious penile injuries caused by strangulation a penectomy can be avoided by means of an individually planned emergency treatment.
引言
阴茎绞窄较为罕见，始终需要进行个体化的紧急治疗。功能障碍和器官完整性丧失是最严重的并发症。
病例报告
一名43岁男性因阴茎皮肤坏死和阴茎脓肿被送到我们的急救车上。这是由他六周前套在阴茎上的一根暖气管导致的。我们首先移除了暖气管，第二步进行了坏死组织切除术，并实施了皮肤网状移植。六个月后，我们观察到外观效果令人满意，功能良好。
结论
即使是由绞窄导致的严重阴茎损伤，通过个体化规划的紧急治疗也可避免阴茎切除术。
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