小儿阴茎异常勃起的治疗与预防策略  

Strategies for the treatment and prevention of priapism in children

作　　者：秦锋[1] 钱升强 袁久洪[1,2] 

机构地区：[1]四川大学华西医院再生医学研究中心,成都610041 [2]四川大学华西医院泌尿外科,成都610041

出　　处：《北京大学学报（医学版）》2013年第6期1001-1006,共6页Journal of Peking University:Health Sciences

基　　金：国家自然科学基金(81270691;81170565);四川省科技支撑计划项目(2012SZ0151)资助~~

摘　　要：阴茎异常勃起（priapism，PP）是指男性阴茎在没有性刺激或性刺激后阴茎持续勃起超过4h的一种病理状态，该病是一种相对少见的疾病，其发病率约为10万分之1．5。阴茎异常勃起可发生在任何年龄段，包括新生儿阶段，但5～10岁的儿童和20～50岁的成人是两个高发期。Priapism is defined as abnormal persisting penile erection beyond or unrelated to sexual stimulation. It is rare in children and the appropriate management consensus is lacking. We have reviewed the literature on the treatment and prevention of priapism in children in the last 5 years. The following advances were reported： （1） compression or thrombin injection guided by ultrasound in nonischemic priapism prior to selective angioembolization; （2） anti-androgen therapy is the key for the prevention of nonischemic priapism occurring and reoccurring after angioembolization; （3） etiological interventions are enough to resolve some priapism in children; （4） T tunnel may be applied to the distal shunt failed cases in children. Combined with the new progress in treatment of priapism in children, we have designed the algorithm of priapism management and the algorithm of stuttering priapism prevention. The two algorithms will be helpful for clinicians dealing with the clinical challenges in children’s priapism management.

关 键 词：阴茎异常勃起 儿童 治疗 预防 

分 类 号：R697.14[医药卫生—泌尿科学]