嵌頓性包莖
外觀
嵌頓性包莖 Paraphimosis | |
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嵌頓性包莖 | |
讀音 | |
類型 | 包莖、疾病 |
分類和外部資源 | |
醫學專科 | 泌尿外科 |
ICD-11 | GB05.3 |
DiseasesDB | 9613 |
MedlinePlus | 001281 |
嵌頓性包莖是指陰莖的包皮向後拉後卡在龜頭後方,無法拉回至龜頭頂端[3]。如果這種情況持續數小時或使得陰莖出現血流不暢的跡象,則可能導致壞疽[4][5][6]。
原因
[編輯]嵌頓性包莖是由於包皮被拉回陰莖頂端時陰莖產生腫脹而引起。通常發生醫療疏失(在陰莖檢查、陰莖清洗、尿道導尿或膀胱鏡檢查時,包皮可能會被翻開)或家長處理包皮不當時會出現嵌頓性包莖[3][6][5]。
參考文獻
[編輯]- ^ 牛津英語詞典 2nd edition, 1989 as /ˌpærəfaɪˈməʊsɪs/.
- ^ Entry "paraphimosis" in Merriam-Webster Online Dictionary (頁面存檔備份,存於網際網路檔案館).
- ^ 3.0 3.1 默沙東診療手冊. 包茎和包皮嵌顿.
- ^ Hina Z Ghory. Phimosis and Paraphimosis. eMedicine. April 28, 2010 [2020-12-16]. (原始內容存檔於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. (原始內容存檔於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]. (原始內容存檔於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.
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