Williams J C, Morrison P M, Richardson J R
Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Am J Emerg Med. 1995 May;13(3):351-3. doi: 10.1016/0735-6757(95)90217-1.
Paraphimosis occurs when the foreskin of the penis is retracted over the glans and cannot be replaced in its normal position. The tight ring of preputial skin constricts the distal penis causing vascular occlusion, much like a tourniquet. The condition is painful and, if not dealt with quickly, can lead to necrosis of the glans. Simple reduction of the prepuce can be achieved by compressing the edematous fluid out of the glans and repositioning the foreskin. Irreducible paraphimosis is treated by dorsal slit procedure and subsequent circumcision. We present two cases illustrating the treatment techniques and possible complications of paraphimosis in men.
当阴茎包皮退缩到龟头上方且无法恢复到正常位置时，就会发生嵌顿包茎。包皮皮肤的紧箍环会压迫阴茎远端，导致血管闭塞，这很像止血带。这种情况会引起疼痛，如果不迅速处理，可能会导致龟头坏死。通过将水肿液从龟头挤出并重新定位包皮，可以实现包皮的简单复位。无法复位的嵌顿包茎则通过背侧切开术及随后的包皮环切术进行治疗。我们介绍两例说明男性嵌顿包茎治疗技术及可能并发症的病例。
