钢环导致的阴茎阴囊绞窄：一例报告
Penoscrotal Strangulation Caused by a Steel Ring: A Case Report.
作者信息
Zhang Jiqing, Wang Xueming, Li Zhulin, Zhang Junhui, Zhang Xiaodong, Xing Nianzeng
机构信息
Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Department of Emergency, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
出版信息
Sex Med. 2017 Jun;5(2):e131-e133. doi: 10.1016/j.esxm.2017.02.004. Epub 2017 Mar 31.
INTRODUCTION
Strangulation of the penis and scrotum by a constricting object has been rarely reported.
AIM
To describe a man with penoscrotal strangulation caused by a steel ring and its successful removal.
METHODS
A 28-year-old man presented to the emergency department with a 7-hour history of a steel ring lodged at the base of his penis and scrotum. Removal was accomplished with the assistance of fire brigade personnel who used their hydraulic cable cutter to shear the ring. During the removal, there were no complications.
RESULTS
The hydraulic cable cutter avoided thermal injury and shortened removal time compared with procedures described in the literature. The patient's recovery was uneventful, with erectile function restored after 1 week.
CONCLUSION
Genital incarceration is an urgent clinical situation requiring prompt treatment. However, suitable tools for removing the foreign object are not readily available in emergency and urology departments. Cooperation with other disciplines, even non-medical disciplines, can result in creative and timely measures for removal of the object. Zhang J, Wang X, Zhang J, et al. Penoscrotal Strangulation Caused by a Steel Ring: A Case Report. Sex Med 2017;5:e131-e133.
引言
因紧缩物体导致阴茎和阴囊绞窄的情况鲜有报道。
目的
描述一名因钢环导致阴茎阴囊绞窄并成功取出钢环的男性病例。
方法
一名28岁男性因钢环卡在阴茎根部和阴囊处7小时就诊于急诊科。在消防队人员的协助下，使用液压电缆剪剪断钢环将其取出。取出过程中未出现并发症。
结果
与文献中描述的方法相比，液压电缆剪避免了热损伤并缩短了取出时间。患者恢复顺利，1周后勃起功能恢复。
结论
生殖器嵌顿是一种需要及时治疗的紧急临床情况。然而，急诊科和泌尿外科部门并不容易获得合适的异物取出工具。与其他学科，甚至非医学学科合作，可能会产生创造性且及时的异物取出措施。张J、王X、张J等。钢环导致的阴茎阴囊绞窄：一例报告。性医学2017；5：e131 - e133。
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