| 王锦锋,王 涛,张春影,麻 立,付宜鸣,倪少滨.低血流量阴茎异常勃起的诊断及治疗(附35例报告)[J].,2017,17(26):5169-5172 |
| 低血流量阴茎异常勃起的诊断及治疗(附35例报告) |
| Diagnosis and Treatment of Low-flow Priapism (Report of 35 Cases) |
| 投稿时间：2017-03-20 修订日期：2017-04-10 |
| DOI：10.13241/j.cnki.pmb.2017.06.039 |
| 中文关键词: 低血流量 阴茎异常勃起 诊断 治疗 |
| 英文关键词: Low-flow Priapism Diagnosis Treatment |
| 基金项目:哈尔滨市应用技术研究与开发项目(哈尔滨市科学技术局2014RFQGJ088) |
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| 中文摘要: |
| 摘要 目的：探讨低血流量阴茎异常勃起的诊断和治疗方法。方法：选取2010年9月至2016年10月我院收治的低血流量阴茎异常勃起住院患者35例，综合阴茎海绵体血气分析及彩色超声检查35例均为低血流量(缺血性)阴茎异常勃起，勃起时间12至240小时，平均72小时。其中，有31例患者应用过药物藻酸双酯钠，1例患者为性生活后导致异常勃起，1例患者为排尿后导致异常勃起，2例患者应用何种药物不详。结果：入院后给予冷敷、镇静、阴茎海绵体灌洗等治疗后5例症状消失，其余30例患者阴茎仍持续勃起。遂施行阴茎海绵体尿道海绵体分流术，术后全部病人阴茎萎软。随访6至24个月，31例患者出现勃起功能障碍，其中轻度患者7例，中度患者16例，重度患者8例。结论：(1)阴茎海绵体血气分析、彩色多谱勒超声检查是诊断阴茎异常勃起的重要方法。(2)冷敷、镇静、阴茎海绵体抽吸减压等治疗是低流量阴茎异常勃起的首选，如无效应及时行阴茎海绵体尿道海绵体分流术。 |
| 英文摘要: |
| ABSTRACT Objective: To discuss the diagnostic approaches and treatment choices of low-flow priapism. Methods: 35 cases of pa- tients suffered from the low-flow priapism in our hospital from September 2010 to October 2016 were selected and diagnosed with the low-flow (ischemic) priapism by combining cavernous blood gas analysisand and color duplex ultrasonography. The priapism lasted 12 to 240 h with a mean of 72 h. 31 patients of them had ever been induced by Polysaccharide Sulfate. One appeared priapism after sexual life. One appeared priapism after micturition. 2 of them were not known what drug they had taken. Results: The symptoms disappeared in 5 cases as a result of using cold compress, sedation method and intracavernous lavage in hospital. But 30 cases were still priapism. Their penis were in a flaccid state after they were performed with the operation of glandular cavernosum shunting. During the 6-24 months of follow-up, 31 patients developed erectile dysfunction. Among them, 13 cases were light to mid erectile dysfunction, 10 cases were mildly and 8 cases were the worst. Conclusion: (1) Using cavernous blood gas analysis and color duplex ultrasonography is important way to di- agnose priapism. (2) Cold compress, sedation method and intracavernous lavage are the first treatments for the the low-flow priapism. If they are not the effectual cure, the operation of glandular cavernosum shunting should be performed in time. |
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