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佩罗尼氏病:当前的治疗方法

Peyronie's disease: current management.

作者信息

Fitkin J, Ho G T

机构信息

Mount Carmel Health System, Columbus, Ohio 43222, USA.

出版信息

Am Fam Physician. 1999 Aug;60(2):549-52, 554.

PMID:10465229
Abstract

Peyronie's disease is an acquired inflammatory condition of the penis associated with penile curvature and,in some cases, pain. It primarily affects men between 45 and 60 years of age, although an age range of 18 to 80 years has been reported. If left untreated, Peyronie's disease may cause fibrotic, nonexpansile thickening of relatively discrete areas of the corpora tunica, typically resulting in focal bend, pain or other functional or structural abnormalities of the erect penis. Many cases resolve without treatment. Medical therapies, including antioxidants (such as vitamin E and potassium aminobenzoate) and corticosteroids injected directly into the plaque, lack adequate scientific support. Surgery remains a mainstay when conservative measures fail.

摘要

佩罗尼氏病是一种后天性阴茎炎症性疾病,伴有阴茎弯曲,在某些情况下还会引起疼痛。它主要影响45至60岁的男性,不过也有报道称发病年龄范围在18至80岁之间。如果不进行治疗,佩罗尼氏病可能会导致白膜相对离散区域出现纤维化、无扩张性增厚,通常会导致勃起阴茎出现局部弯曲、疼痛或其他功能或结构异常。许多病例不经治疗即可自愈。包括抗氧化剂(如维生素E和氨基苯甲酸酯钾)和直接注射到斑块内的皮质类固醇在内的药物治疗缺乏充分的科学依据。当保守治疗措施失败时,手术仍是主要的治疗手段。

相似文献

1
Peyronie's disease: current management.佩罗尼氏病:当前的治疗方法
Am Fam Physician. 1999 Aug;60(2):549-52, 554.
2
Management of Peyronie's disease--a review.佩罗尼氏病的治疗——综述
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Peyronie's disease is associated with Paget's disease of bone.佩罗尼氏病与骨佩吉特病相关。
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Surgical and minimally invasive treatments for Peyronie's disease.阴茎硬结症的手术和微创治疗。
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Management of Peyronie's disease with penile prostheses.佩罗尼氏病的阴茎假体治疗
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Peyronie's disease: a critical appraisal of current diagnosis and treatment.佩罗尼氏病:对当前诊断与治疗的批判性评估
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Peyronie's disease: etiology, medical, and surgical therapy.佩罗尼氏病:病因、药物及手术治疗
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Straightening out Peyronie's: a medical and surgical approach to the patient.矫正佩罗尼氏病:针对患者的医学与手术治疗方法
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Pharmacological Management of Peyronie's Disease.佩罗尼氏病的药物治疗
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Potassium para-aminobenzoate for the treatment of Peyronie's disease: is it effective?对氨基苯甲酸钾治疗佩罗尼氏病:有效吗?
Tech Urol. 1997 Fall;3(3):135-9.

引用本文的文献

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A prospective, randomized, single - blind study comparing intraplaque injection of thiocolchicine and verapamil in Peyronie's Disease: a pilot study.一项比较硫秋水仙碱和维拉帕米斑块内注射治疗佩罗尼氏病的前瞻性、随机、单盲研究:一项初步研究。
Int Braz J Urol. 2016 Sep-Oct;42(5):1005-1009. doi: 10.1590/S1677-5538.IBJU.2015.0598.
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Pharmacological therapy in patients diagnosed with Peyronie's disease.佩罗尼氏病确诊患者的药物治疗
J Med Life. 2012 Jun 12;5(2):192-5. Epub 2012 Jun 18.
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Effect of intralesional verapamil for treatment of Peyronie's disease: a randomized single-blind, placebo-controlled study.
病灶内注射维拉帕米治疗佩罗尼氏病的效果:一项随机单盲、安慰剂对照研究。
Int Urol Nephrol. 2009;41(3):467-71. doi: 10.1007/s11255-009-9522-4. Epub 2009 Feb 6.
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The effectiveness of transdermal electromotive administration with verapamil and dexamethasone in the treatment of Peyronie's disease.维拉帕米和地塞米松经皮电动给药治疗佩罗尼氏病的有效性。
Int Urol Nephrol. 2009;41(1):113-8. doi: 10.1007/s11255-008-9408-x. Epub 2008 Jul 1.