| 阴茎异常勃起的诊断和治疗 |
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| 引用本文： | 张炜,殷长军,钱立新,徐正铨,眭元庚. 阴茎异常勃起的诊断和治疗[J]. 现代医学, 2003, 31(5): 284-286 |
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| 作者姓名： | 张炜 殷长军 钱立新 徐正铨 眭元庚 |
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| 作者单位： | 南京医科大学第一附属医院,泌尿外科,江苏,南京,210029 |
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| 摘 要： | 目的 探讨阴茎异常勃起的诊断和治疗方法。方法 回顾性分析18例阴茎异常勃起患者的治疗方法和随访资料。结果 18例患者经治疗后，11例(61．1％)勃起完全消退，5例(27．8％)部分消退，2例(11．1％)转移性癌症所致勃起治疗无效。6例死于原发病，4例出现勃起功能障碍(ED)。结论 阴茎海绵体穿刺抽血行血气分析、海绵体彩色多普勒检查及选择性血管造影对阴茎异常勃起有诊断价值，选择性动脉栓塞和阴茎头分流术是治疗高血流量和低血流量异常勃起的可靠方法。
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| 关 键 词： | 阴茎异常勃起 诊断 治疗 彩色多普勒检查 血管造影术 |
| 文章编号： | 1671-7562(2003)05-0284-03 |
| 修稿时间： | 2003-04-02 |
The diagnosis and treatment of priapism |
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| ZHANG Wei,YIN Chang-jun,QIAN Li-xin,XU Zheng-quan,SUI Yuan-geng. The diagnosis and treatment of priapism[J]. Modern Medical JOurnal, 2003, 31(5): 284-286 |
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| Authors: | ZHANG Wei YIN Chang-jun QIAN Li-xin XU Zheng-quan SUI Yuan-geng |
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| Abstract: | Objective To explore the diagnosis and treatment methods of priapism.Methods The diagnosis and treatment of 18 cases of priapism were analysed retrospectively. Results After treatment, 11 cases (61.1%) resulted in complete detumescence, 5 cases (27.8%) had partial deturmescence, 2 cases(11.1%) of metastasis priapism had no resolution. 6 cases died of primary disease. Erectile dysfunction occurred in 4 cases. Conclusions The cavernosal blood analysis, color Doppler ultrasound examination and selective radiography have great value in diagnosis of priapism. The selective embolization of artery and glandular-cavernosal shunt are effective ways to treat high-flow and low-flow priapism respectively. |
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| Keywords: | priapism diagnosis treatment blood gas analysis angiography |
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