使用 N-丁基-氰基丙烯酸酯经血管内栓塞治疗创伤后高流量阴茎异常勃起。
Post-traumatic high-flow priapism treated by endovascular embolization using N-butyl-cyanoacrylate.
机构信息
University Department of Diagnostic and Interventional radiology, University Hospital Center Zagreb, Zagreb, Croatia.
出版信息
Radiol Oncol. 2010 Jun;44(2):103-6. doi: 10.2478/v10019-010-0024-x. Epub 2010 May 24.
BACKGROUND
Priapism, persistent erection without arousal, can be classified into low-flow (venous or ischemic) and high-flow (arterial or non-ischemic). The diagnosis of high-flow priapism can be confirmed by colour Doppler and arteriography and it is usually treated by the endovascular embolization.
CASE REPORT
We present a case of a 20-year-old man with a post-traumatic high-flow priapism as a result of the previous perineal trauma. After a period of watchful waiting and an unsuccessful attempt at endovascular embolization using the resorptive gelatinous foam he was successfully treated by the endovascular embolization using N-butyl-cyanoacrylate.
CONCLUSIONS
High-flow priapism can be successfully treated by the endovascular embolization, but the optimal choice of the embolization agent and a careful technique is essential.
背景
阴茎异常勃起，即无性欲时的持续勃起，可分为低流量（静脉或缺血性）和高流量（动脉或非缺血性）。高流量性阴茎异常勃起的诊断可通过彩色多普勒和血管造影来确认，通常采用血管内栓塞治疗。
病例报告
我们报告了一例 20 岁男性患者，既往有会阴创伤史，发生创伤后继发性高流量性阴茎异常勃起。在观察等待一段时间后，使用可吸收明胶海绵进行血管内栓塞治疗失败，随后采用 N-丁基-氰基丙烯酸酯进行血管内栓塞治疗获得成功。
结论
血管内栓塞治疗可成功治疗高流量性阴茎异常勃起，但栓塞剂的最佳选择和仔细的技术至关重要。
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