外伤后高流入性阴茎异常勃起的诊断与治疗  

Diagnosis and management of traumatic high-flow priapism

作　　者：杨宝龙[1] 刘福全[2] 关维民[1] 李贵军[1] 赵豫波[1] 徐衍盛[1] 

机构地区：[1]海军总医院泌尿外科,北京100037 [2]铁路总医院介入治疗科,北京100038

出　　处：《创伤外科杂志》2006年第1期4-6,共3页Journal of Traumatic Surgery

摘　　要：目的探讨高流入性阴茎异常勃起的病因与发病机制,提高其诊断和治疗水平。方法分析总结2例外伤后动脉性高流入性阴茎异常勃起病人的临床资料。2例均经多功能彩色多谱勒检查确诊。其中1例行选择性阴部内动脉造影,并用明胶海绵行右侧海绵体动脉栓塞术。结果本组2例患者中,行超选择性海绵体动脉栓塞术治疗的病例术后阴茎变软,术后随访阴茎勃起功能恢复正常;另1例仅行海绵体穿刺放血后向海绵体内注入阿拉明治疗,阴茎暂时变软,很快又恢复至原来状态,治疗效果不佳。结论阴茎海绵体血气分析及选择性阴部内动脉造影是诊断海绵体动脉窦状隙瘘的主要依据。超选择性海绵体动脉栓塞术治疗动脉性高流入性阴茎异常勃起是安全而有效的方法。Objective To research the cause and pathogenesy of traumatic high-flow priapism and to promote the diagnosis and treatment of it. Methods To report 2 cases of arterial high-flow priapism after trauma. Results Two cases were diagnosed by muhifunction Doppler ultrasound. Selective arteriography of arterial pudendum interna and superselective cavernous arterial （ RT ） embolization with spongia gelatinosa was carried out in 1 case with excellent return of normal erectile function. Corporeal aspiration was carried out in another case with transient detumescence. Conclusion The normal level of cavernosal blood gas analysis and arterial fistula demonstrated by selective arteriography of arteria pudendum interna are the diagnostic basis. Superselective cavernous arterial embolization is proved to be a safe and effective treatment for artrial high - flow priapism.

关 键 词：阴茎勃起 海绵体 动脉瘘 栓塞术 

分 类 号：R697.14[医药卫生—泌尿科学]