治疗佩罗尼氏病的现代原则

V. A. Zurnadzh'yants, D. V. Kurashov, E. Kchibekov, A. A. Proskurin
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摘要

被称为 "佩罗尼氏病 "的阴茎纤维增生性压痕,仍然是当今医学界最棘手的问题之一。该病在 40 岁至 70 岁男性中的发病率为 2.5%至 9%(根据各国科学家的研究统计)。这是一种缓慢进展的良性疾病。其特征是在阴茎白膜上形成特发性纤维斑块。佩罗尼氏病不仅影响男性健康的器质性部分,还会影响其活动的心理方面,对患者的职业活动和家庭生活造成负面影响,这不仅决定了该问题的医学意义,也决定了其社会意义。关于佩罗尼氏病发生的假说已得到广泛宣传,认为它是阴茎外伤的结果,在外伤过程中,阴茎包膜发生出血和分层,被忽视的炎症过程伴有弹性纤维的紊乱和胶原沉积,愈合后形成粗糙的瘢痕。尽管在了解佩罗尼氏病的发病机制方面取得了进展,但这种疾病的治疗仍然是最复杂和最有争议的。对文献资料的分析表明,手术治疗效果不理想的比例仍然很高。在现代医学中,几乎没有一个焦点可以让你确定治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Modern principles of treatment of Peyronie's disease
Fibroplastic induration of the penis, known as Peyronie's disease, remains one of the most difficult problems in medicine today. The prevalence of the disease among men ranges from 2.5 % to 9 % between the ages of 40 and 70 (statistics according to studies conducted by scientists in different countries). It is a benign, slowly progressive disease. It is characterized by the formation of idiopathic fibrous plaques in the albuginea of the penis. Peyronie's disease affects not only the organic part of a man's health, but also affects the psychological aspects of his activity, negatively affects the patient's professional activity and family life, which determines not only the medical, but also the social significance of the problem. The hypothesis of the occurrence of Peyronie's disease has received wide publicity as a result of a trauma to the penis, in which bleeding and delamination of the albuginea occur, and a neglected inflammatory process with disorganization of elastic fibers with collagen deposition heals with coarse scarring. Despite the fact that progress has been made in understanding the mechanisms of development of Peyronie's disease, the therapy of this disease remains one of the most complex and controversial. Analysis of literary sources shows that unsatisfactory results of surgical treatment are still at a high level. In modern medicine, there is practically no single focus that allows you to determine the tactics of treatment.
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