阴茎异常勃起的治疗

目的探讨阴茎异常勃起的治疗方法，降低勃起功能障碍（ED）的发生。方法回顾性分析28例阴茎异常勃起病历资料及随访记录。结果3例高流量型阴茎异常勃起经保守治疗后完全消退。19例病程≤48h低流量型阴茎异常勃起病人均经镇静冷敷及阴茎海绵体内注射阿拉明、冲洗并连续硬膜外微量注入麻醉药物治疗，14例症状消失，5例无效行分流术；随访出现勃起功能障碍者分别为1例、2例。6例病程〉48h者3例保守治疗3例手术治疗痊愈后随访出现勃起功能障碍者分别为2例、1例。结论高流量型阴茎异常勃起一般行保守治疗，低流量型阴茎异常勃起病程≤48h尽可能行充分的保守治疗，如无效或病程〉48h应尽可能考虑分流术。

The treatment of priapism

Objectives To explore the treatment methods of priapism to decrease its complication sush as erectile disfunction. Methods Twenty eight cases of priapism treated and followed up were reviewed and analysed retrospectively. Results Three patients with high -flow priapism with unoperative therapy were resulted in complete decumescence of the penile erection. The courses of 19 low - flow priapism cases were not more than 48 hours. They were all-treated by calm and cold apply therapy ,then given intracaverous injection of arimine and intracaverous injection of mini - anesthesia drug under continuous epidural anesthesia. Fourteen cases were well - treated in those patients. The rest 5 cases lately given surgical operation by cavernous - Glans shunt were yet cured. These 19 cases were followed up and were found separately 1 and 2 patints with impotence. Six low - flow priapism cases with more than 48 hours courses compesed of 3 cases by unoperative therapy and 3 cases by operative therapy were well - trea- ted. Two and one patients after being followed up separately occured ED. Conclusions The patients with high - flow priapism are gene ally given unsugical treatment. The patients of low -flow priapism with not more than 48h disease courses should be given comprehensive and unsugical treatment firstly. Then the cavernous - Glans shunt should be done as quickly as possible if unsugical treatment is of no effect and the disease courses is more than 48 hours.