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1临床资料:患者,男,77岁。因阴茎部溃疡、发痒20余年入院。20年前患者因包茎行包皮环切术,术后阴茎头部渐出现一小溃疡,局部发痒,后曾2次行溃疡清除术,但是效果欠佳,20年来阴茎头部溃疡一直未愈合,期间在多地诊治,考虑龟头炎、湿疹等,给于清洗、抗生素、抗真菌等药物治疗,效果仍欠佳,但溃疡创面亦未明显扩大、加深。查体:会阴部可闻及明显异味,阴茎头部(距冠状沟约1cm)有一小溃疡,直径约
1 clinical data: patients, male, 77 years old. Due to penile ulcers, itching more than 20 years admitted. Twenty years ago, the patient underwent circumcision because of the phimosis. A small ulcer gradually developed in the head of the penis after the operation and was partially itchy. After that, she had ulcer removal twice in a row, but the effect was poor. The penile head ulcer had not healed for 20 years During the diagnosis and treatment of multiple, consider balanitis, eczema, etc., for cleaning, antibiotics, anti-fungal and other drug treatment, the effect is still poor, but the ulcer wound has not significantly expanded and deepened. Physical examination: perineal smell and obvious odor, penis head (about 1cm from the coronary sulcus) have a small ulcer, the diameter of about