创伤致高血流量性阴茎异常勃起诊治分析  

Diagnosis and treatment of high-flow priapism after penis trauma

作　　者：彭大振[1] 王立新[1] 黄亮[1] 赵江彬[1] 祝旭飞[1] 郑永庆[1] 冯船洋[1] 卢根生[2] 

机构地区：[1]解放军第210医院泌尿外科,辽宁大连116021 [2]第三军医大学西南医院全军泌尿外科研究所,重庆400038

出　　处：《局解手术学杂志》2013年第1期15-17,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨创伤致高流量阴茎异常勃起临床诊治的相关问题。方法回顾性分析我院自2000年1月至2012年7月收治的7例高流量阴茎异常勃起患者的临床资料。结果 7例患者均有阴茎创伤史,查体阴茎处于半勃起状态。经海绵体穿刺血气分析、彩色多普勒超声检查明确为高流量阴茎异常勃起。7例均先行保守治疗,其中2例缓解,5例密切观察后无效,利用超选择性阴部内动脉造影及栓塞术治疗,阴茎勃起消失,随访6个月无复发,勃起功能恢复良好。结论高流量阴茎异常勃起的诊断依靠病史、查体、海绵体穿刺血气分析、彩超、高选择性阴部内动脉血管造影检查。治疗以观察及保守治疗为主,保守治疗无效时可采取超选择性阴部内动脉栓塞术。Objective To explore the related issues of the diagnosis and treatment of high-flow priapism（HFP）.Methods The clinical datas including clinical manifestation,laboratory examination and treatment of seven cases of HFP in our hospital since January 2000 to July 2012 were retrospectively analyzed.Results All the seven patients have perineum trauma history.After examined with blood gas analysis via corpus cavernosum puncture and color dopple ultrasonography examination they were diagnosed with HFP.All the patients were underwent conservative treatment,among which 2 cases were in remission,and the other 5 cases were of no avail.After treated with selective arteriography of the pudendal artery and selective artery embolization,their erectile function recovered and there was no recurrence during the six-months＇ follow-up.Conclusion The diagnosis of HFP is mainly depend on clinical history,physical examination,blood gas analysis via corpus cavernosum puncture,color dopple ultrasonography examination and selective arteriography of the pudendal artery.Observation and conservative treatment are primary options.Selective artery embolization is recommended when conservative treatment treatment is invalid.

关 键 词：阴茎异常勃起 阴茎创伤 治疗 

分 类 号：R691.6[医药卫生—泌尿科学]