海绵体-尿道海绵体分流术联合海绵体内隧道术治疗持续性缺血性阴茎异常勃起
[Corpus cavernosum-corpus spongiosum shunt plus intracavernous tunneling for the treatment of prolonged ischemic priapism].
作者信息
Lian Wen-qing, Cui Wan-shou, Jin Zhe, Zhang Jian, Liu Tao, Li Wei-ren, Yuan Yi-ming, Xin Zhong-cheng
机构信息
Andrology Center, Peking University First Hospital, Institute of Urology, Peking University, Beijing 100034, China.
出版信息
Beijing Da Xue Xue Bao Yi Xue Ban. 2010 Aug 18;42(4):421-4.
OBJECTIVE
To investigate the efficacy and safety of corpus cavernosum-corpus spongiosum shunt (CC-CSS) plus intracavernous tunneling(CC-CSS+ICT) for the treatment of prolonged ischemic priapism (PIP) were investigated.
METHODS
Of 21 patients with PIP, 11 (Group A) underwent CC-CSS and 10 (Group B) CC-CSS+ICT surgery. The penile hardness score (PHS) and pain visual analogue score (PVAS) were used to assess the efficacy of the surgery.
RESULTS
The erectile functions of the two groups were normal (IIEF5 23.6+/-1.1) before the onset of PIP, and the duration of PIP was (3.4+/-1.3) d. PHS 3.9+/-0.4, and PVAS 8.4+/-0.7. There was no statistical difference between the two groups (P>0.05). On 1, 3 and 5 days after the operation, the PHS and PVAS of Group B decreased significantly than those of Group A (P<0.05).
CONCLUSION
CC-CSS+ICT could quickly restore penile detumescence and relieve pain as compared with CC-CSS, which might be a safe and effective method for the treatment of PIP.
目的
探讨海绵体-海绵体分流术（CC-CSS）联合海绵体内隧道术（CC-CSS+ICT）治疗持续性缺血性阴茎异常勃起（PIP）的疗效及安全性。
方法
21例PIP患者中，11例（A组）接受CC-CSS手术，10例（B组）接受CC-CSS+ICT手术。采用阴茎硬度评分（PHS）和疼痛视觉模拟评分（PVAS）评估手术疗效。
结果
两组患者在PIP发作前勃起功能均正常（国际勃起功能指数5分，IIEF5 23.6±1.1），PIP持续时间为（3.4±1.3）天，PHS为3.9±0.4，PVAS为8.4±0.7。两组间差异无统计学意义（P>0.05）。术后1、3和5天，B组的PHS和PVAS较A组显著降低（P<0.05）。
结论
与CC-CSS相比，CC-CSS+ICT能更快恢复阴茎消肿并减轻疼痛，可能是治疗PIP的一种安全有效的方法。
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