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双侧动脉性海绵体瘘的选择性栓塞治疗创伤后阴茎动脉性异常勃起。

Selective embolization of bilateral arterial cavernous fistulas for posttraumatic penile arterial priapism.

作者信息

Lazinger M, Beckmann C F, Cossi A, Roth R A

机构信息

Department of Diagnostic Radiology, Lahey Hitchcock Medical Center, 41 Mall Road, Burlington, MA 01805, USA.

出版信息

Cardiovasc Intervent Radiol. 1996 Jul-Aug;19(4):281-4. doi: 10.1007/BF02577651.

DOI:10.1007/BF02577651
PMID:8755085
Abstract

A 22-year-old man suffered a hiking accident with perineal trauma and developed a nonpainful priapism secondary to bilateral arterial-cavernosal fistulas. To minimize the risk of impotence in this young patient, successive selective embolizations with autologous blood clot were performed to close the fistulas. This led to an uncomplicated full recovery. No fistula was detectable on Doppler ultrasonography at 1-year follow-up. Review of the literature confirms the safety of embolization with autologous clot.

摘要

一名22岁男性在徒步旅行时发生会阴部创伤事故,继发双侧动脉海绵体瘘,出现无痛性阴茎异常勃起。为将这位年轻患者发生阳痿的风险降至最低,先后进行了自体血凝块选择性栓塞术以闭合瘘管。这使得患者顺利完全康复。在1年的随访中,多普勒超声检查未发现瘘管。文献回顾证实了自体血凝块栓塞术的安全性。

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Selective embolization of bilateral arterial cavernous fistulas for posttraumatic penile arterial priapism.双侧动脉性海绵体瘘的选择性栓塞治疗创伤后阴茎动脉性异常勃起。
Cardiovasc Intervent Radiol. 1996 Jul-Aug;19(4):281-4. doi: 10.1007/BF02577651.
2
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A rare case of post-traumatic high-flow priapism requiring endovascular salvage with bilateral superselective microcoil embolization.

本文引用的文献

1
A new concept in the management of priapism.阴茎异常勃起治疗的新概念。
J Urol. 1960 Jan;83:60-1. doi: 10.1016/S0022-5347(17)65655-6.
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Delayed high flow priapism: pathophysiology and management.迟发性高流量型阴茎异常勃起:病理生理学与治疗
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High flow priapism: a spectrum of disease.高流量型阴茎异常勃起:一种疾病谱。
一例罕见的创伤后高流量阴茎异常勃起病例,需通过双侧超选择性微线圈栓塞进行血管内挽救治疗。
J Surg Case Rep. 2021 Mar 8;2021(3):rjab077. doi: 10.1093/jscr/rjab077. eCollection 2021 Mar.
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Arterial priapism: diagnosis, treatment and long-term followup.阴茎异常勃起:诊断、治疗及长期随访
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Erection and priapism: a new physiopathological concept.勃起与阴茎异常勃起:一种新的生理病理概念。
Urol Int. 1983;38(3):138-45. doi: 10.1159/000280878.
10
Percutaneous temporary embolization of the internal pudendal arteries in idiopathic priapism: 2 additional cases.
J Urol. 1984 Apr;131(4):756-8. doi: 10.1016/s0022-5347(17)50611-4.