高流量性阴茎异常勃起的诊治(附3例报告)  

Diagnosis and treatment of high-flow priapism (report of 3 cases)

作　　者：李东[1] 陈勇辉[1] 孙杰[1] 黄旭元[1] 黄翼然[1] 王益鑫[1] 杨之辉[2] 

机构地区：[1]上海第二医科大学附属仁济医院泌尿外科,上海200001 [2]上海第二医科大学附属仁济医院放射科

出　　处：《中国男科学杂志》2004年第6期29-31,共3页Chinese Journal of Andrology

摘　　要：目的探讨高流量性阴茎异常勃起的诊断和治疗方法。方法复习3例高流量性阴茎异常勃起,2例会阴部外伤所致,1例原因不明。行体检、血气分析、阴茎彩色超声、阴部内动脉血管造影等检查,并分别行阿拉明注射、穿刺放血、阴茎头-阴茎海绵体分流、明胶海绵动脉瘘栓塞等治疗。结果2例明确诊断为高流量性阴茎异常勃起,右侧动脉瘘栓塞后勃起完全消失,随访短期内勃起功能恢复。1例诊断模糊,行分流手术后勃起不完全消退,随访2年内发生勃起功能障碍。结论选择性阴部内动脉造影和栓塞治疗是高流量性阴茎异常勃起有效的诊治方法。Objective To explore the diagnosis and treatment methods of high-flow Priapism. Methods Two cases of high-flow priapism resulted from perineal trauma and one case from unknown cause were evaluated by physical examination, cavemosal blood gas analysis, color duplex ultrasonography and cavernosography of the internal pudendal artery. Three cases were treated with intracavernosal injection of Aramine, cavemosal aspiration, glandular-cavernosal shunt and Gelfoam pledgets fistula embolisation respectively. Results Among 3 patients, 2 cases were of high-flow priapism, after embolisation of right fistula of the internal pudendal artery, the erection is complete detumescence. Follow-up of short-term, the erectile function were normal. The etiology of 1 case was unclear. After treated by glandular-cavernosal shunt, the erection is partial detumescence. Follow-up after 2 years, the erectile dysfunction occurred. Conclusions Selective angiography and embolisation of the internal pudendal artery are effective ways to diagnosis and treat high-flow priapism.

关 键 词：阴茎异常勃起 造影 栓塞 

分 类 号：R697.14[医药卫生—泌尿科学]