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阴茎异常勃起:基于病因和预后的三相治疗理念。

Priapism: a three-phase concept of management according to aetiology and prognosis.

作者信息

Pohl J, Pott B, Kleinhans G

出版信息

Br J Urol. 1986 Apr;58(2):113-8. doi: 10.1111/j.1464-410x.1986.tb09008.x.

DOI:10.1111/j.1464-410x.1986.tb09008.x
PMID:3516294
Abstract

Priapism is a persistent, painful erection of the penis unassociated with sexual stimulation or desire, and detumescence does not occur following ejaculation. Prolonged pathological erections may occur and it is only when they are painful that the term priapism should be used. The erection is limited to the corpora cavernosa. Although the syndrome was named after Priapos, the mythical Greek god of fertility, impotence persists in one half of patients treated for priapism. The disease is rare; the literature consists mainly of case reports and comprehensive reviews are seldom found. Permanent sequelae cause a psychological and physical handicap and justify the present review, which is based upon recent literature as well as personal clinical experience of 15 patients. We have reviewed 170 reports describing 1400 cases of priapism and have based the analysis upon the 230 single case reports found in the literature.

摘要

阴茎异常勃起是指阴茎在无性欲刺激的情况下持续、疼痛性勃起,射精后也不疲软。可出现长时间的病理性勃起,只有当勃起伴有疼痛时才使用阴茎异常勃起这一术语。勃起仅限于海绵体。尽管该综合征以希腊神话中的生育之神普里阿普斯(Priapos)命名,但接受阴茎异常勃起治疗的患者中有一半会持续存在阳痿。该病较为罕见;文献主要是病例报告,很少有全面的综述。永久性后遗症会导致心理和身体障碍,这也说明了本次综述的合理性,本次综述基于近期文献以及15例患者的个人临床经验。我们回顾了170篇描述1400例阴茎异常勃起病例的报告,并基于文献中找到的230篇单病例报告进行分析。

相似文献

1
Priapism: a three-phase concept of management according to aetiology and prognosis.阴茎异常勃起:基于病因和预后的三相治疗理念。
Br J Urol. 1986 Apr;58(2):113-8. doi: 10.1111/j.1464-410x.1986.tb09008.x.
2
Priapism in southwestern Nigeria.尼日利亚西南部的阴茎异常勃起。
East Afr Med J. 2003 Oct;80(10):518-24. doi: 10.4314/eamj.v80i10.8754.
3
[Priapism: review of current knowledge and presentation of a diagnostic and therapeutic algorithm].[阴茎异常勃起:当前知识综述及诊断与治疗流程介绍]
Schweiz Rundsch Med Prax. 1992 Jun 16;81(25):834-7.
4
Priapism and sickle-cell anemia: diagnosis and nonsurgical therapy.阴茎异常勃起和镰状细胞贫血:诊断与非手术治疗。
J Sex Med. 2012 Jan;9(1):88-103. doi: 10.1111/j.1743-6109.2011.02317.x. Epub 2011 Jun 23.
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Priapism.阴茎异常勃起
Int J Impot Res. 2000 Oct;12 Suppl 4:S133-9. doi: 10.1038/sj.ijir.3900592.
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Priapism in children with leukemia.白血病患儿的阴茎异常勃起
Urology. 1981 Dec;18(6):604-6. doi: 10.1016/0090-4295(81)90467-2.
7
[Medical treatment of venous priapism apropos of 46 cases: puncture, pharmacologic detumescence or penile cooling?].
Prog Urol. 1997 Jun;7(3):433-41.
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Experience with 105 patients with priapism: update review of all aspects.105例阴茎异常勃起患者的经验:各方面最新综述
J Urol. 1988 Nov;140(5):980-3. doi: 10.1016/s0022-5347(17)41904-5.
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Priapism in children: a comprehensive review and clinical guideline.儿童阴茎异常勃起:全面综述与临床指南
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European Association of Urology guidelines on priapism.欧洲泌尿外科学会阴茎异常勃起指南。
Eur Urol. 2014 Feb;65(2):480-9. doi: 10.1016/j.eururo.2013.11.008. Epub 2013 Nov 16.

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음경 응급 상황-초음파 영상의 스펙트럼 이해.阴茎急症——超声影像的频谱解读
J Korean Soc Radiol. 2025 Mar;86(2):236-248. doi: 10.3348/jksr.2024.0025. Epub 2025 Mar 26.
2
Idiopathic recurrent ischemic priapism: a review of current literature and an algorithmic approach to evaluation and management.特发性复发性缺血性阴茎异常勃起:当前文献综述及评估与管理的算法方法
Basic Clin Androl. 2024 Dec 4;34(1):21. doi: 10.1186/s12610-024-00237-y.
3
[Priapism].[阴茎异常勃起]
Urologie. 2024 Jun;63(6):566-572. doi: 10.1007/s00120-024-02338-y. Epub 2024 Apr 23.
4
Review of Ischemic and Non-ischemic Priapism.缺血性和非缺血性阴茎异常勃起的综述。
Curr Urol Rep. 2022 Jul;23(7):143-153. doi: 10.1007/s11934-022-01096-8. Epub 2022 May 10.
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Role of Penile Prosthesis in Priapism: A Review.阴茎假体在阴茎异常勃起中的作用:综述
World J Mens Health. 2018 Jan;36(1):4-14. doi: 10.5534/wjmh.17040.
6
Ischaemic priapism: A clinical review.缺血性阴茎异常勃起:临床综述
Turk J Urol. 2017 Mar;43(1):1-8. doi: 10.5152/tud.2017.59458. Epub 2017 Mar 1.
7
Clinical Management of Priapism: A Review.阴茎异常勃起的临床管理:综述
World J Mens Health. 2016 Apr;34(1):1-8. doi: 10.5534/wjmh.2016.34.1.1. Epub 2016 Apr 30.
8
Management of priapism: an update for clinicians.阴茎异常勃起的处理:临床医生的最新进展。
Ther Adv Urol. 2014 Dec;6(6):230-44. doi: 10.1177/1756287214542096.
9
Our experience in the treatment of priapism.我们在治疗阴茎异常勃起方面的经验。
Cent European J Urol. 2011;64(2):80-3. doi: 10.5173/ceju.2011.02.art6. Epub 2011 Jun 2.
10
Priapism: pathophysiology and the role of the radiologist.阴茎异常勃起:病理生理学和放射科医生的作用。
Br J Radiol. 2012 Nov;85 Spec No 1(Spec Iss 1):S79-85. doi: 10.1259/bjr/62360925. Epub 2012 Sep 6.