嵌顿性包茎
嵌顿性包茎 Paraphimosis | |
---|---|
嵌顿性包茎 | |
读音 | |
类型 | 包茎、疾病 |
分类和外部资源 | |
医学专科 | 泌尿外科 |
ICD-11 | GB05.3 |
DiseasesDB | 9613 |
MedlinePlus | 001281 |
嵌顿性包茎是指阴茎的包皮向后拉后卡在龟头后方,无法拉回至龟头顶端[3]。如果这种情况持续数小时或使得阴茎出现血流不畅的迹象,则可能导致坏疽[4][5][6]。
原因
嵌顿性包茎是由于包皮被拉回阴茎顶端时阴茎产生肿胀而引起。通常在医疗疏失(在阴茎检查、阴茎清洗、尿道导尿或膀胱镜检查时,包皮可能会被翻开)或家长处理包皮不当时会出现嵌顿性包茎[3][6][5]。
参考文献
- ^ 牛津英语词典 2nd edition, 1989 as /ˌpærəfaɪˈməʊsɪs/.
- ^ Entry "paraphimosis" in Merriam-Webster Online Dictionary (页面存档备份,存于互联网档案馆).
- ^ 3.0 3.1 默沙东诊疗手册. 包茎和包皮嵌顿.
- ^ Hina Z Ghory. Phimosis and Paraphimosis. eMedicine. April 28, 2010 [2020-12-16]. (原始内容存档于2021-02-24).
Patients with phimosis, both physiologic and pathologic, are at risk for developing paraphimosis when the foreskin is forcibly retracted past the glans and/or the patient or caretaker forgets to replace the foreskin after retraction.
- ^ 5.0 5.1 Choe JM. Paraphimosis: Current Treatment Options. American Family Physician. 2000, 62 (12): 2623–6, 2628 [2020-12-16]. PMID 11142469. (原始内容存档于2011-08-07).
If a severely constricting band of tissue precludes all forms of conservative or minimally invasive therapy, an emergency dorsal slit should be performed. This procedure should be performed with the use of a local anesthetic by a physician experienced with the technique... Circumcision, a definitive therapy, should be performed at a later date to prevent recurrent episodes, regardless of the method of reduction used.
- ^ 6.0 6.1 Jeffrey M Donohoe; Jason O Burnette; James A Brown. Paraphimosis. eMedicine. October 7, 2009 [2020-12-16]. (原始内容存档于2020-11-28).
Patients with severe paraphimosis that proves refractory to conservative therapy will require a bedside emergency dorsal slit procedure to save the penis. A formal circumcision can be performed in the operating room at a later date... At a later date, a formal circumcision can be performed as an outpatient procedure.