静脉闭塞性阴茎异常勃起的诊断与治疗（附17例报告）
[Diagnosis and treatment of veno-occlusive priapism (a report of 17 cases)].
作者信息
Feng Feng, Chen Ai-ping, Zhao Shou-guo, Sun Rong, Wang Xiao-xiong
机构信息
Department of Urology, General Hospital of PLA, Beijing 100853, China.
出版信息
Zhonghua Nan Ke Xue. 2007 Jun;13(6):535-7.
OBJECTIVE
To explore the diagnosis and treatment of veno-occlusive priapism.
METHODS
The diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.
RESULTS
All the 17 patients were evaluated by physical examination, cavernous blood gas analysis and color Doppler ultrasonography, and treated by conservative therapy, intracavernosal aspiration and injection, surgical operation. After treatment, 11 cases achieved complete detumescence, 5 cases partial detumescence and 1 case of penile cancer failed to respond. During the 2-6 months follow-up, erectile dysfunction occurred in 3 cases.
CONCLUSION
Cavernous blood gas analysis and color Doppler ultrasonography are helpful to the diagnosis of veno-occlusive priapism. Early and correct intracavernosal injection and corpora cavernosa-corpus spongiosum shunt are effective ways to treat veno-occlusive priapism.
目的
探讨静脉性阴茎异常勃起的诊断与治疗方法。
方法
回顾性分析17例静脉性阴茎异常勃起患者的诊断与治疗情况。
结果
17例患者均经体格检查、海绵体血气分析及彩色多普勒超声检查，并采用保守治疗、海绵体内穿刺抽吸及注射、手术治疗。治疗后，11例完全消肿，5例部分消肿，1例阴茎癌患者无效。随访2 - 6个月，3例出现勃起功能障碍。
结论
海绵体血气分析及彩色多普勒超声检查有助于静脉性阴茎异常勃起的诊断。早期正确的海绵体内注射及海绵体-尿道海绵体分流术是治疗静脉性阴茎异常勃起的有效方法。
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