| 缺血型阴茎异常勃起的处理与预后(附14例报告) |
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| 引用本文： | DU Yuejun,谭万龙,MAO Xiangming,郑少斌,WU Peng,张辉见,CHEN Pengliang,熊林.缺血型阴茎异常勃起的处理与预后(附14例报告)[J].临床泌尿外科杂志,2008,24(6). |
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| 作者姓名： | DU Yuejun 谭万龙 MAO Xiangming 郑少斌 WU Peng 张辉见 CHEN Pengliang 熊林 |
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| 作者单位： | 1. 南方医科大学南方医院泌尿外科,广州,510515
2. 解放军第187中心医院外一科 |
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| 摘 要： | 目的:探讨缺血型阴茎异常勃起的临床特点.方法:回顾性分析14例缺血型阴茎异常勃起患者的临床资料,持续勃起时间6～168 h,平均32 h.非手术治疗5例,手术治疗9例.结果:术后阴茎完全恢复疲软时间0～9天,平均3.5天.11例随访3～38个月,7例于术后7天～5个月恢复正常勃起功能,其中3例持续勃起时间≤12 h,3例为13~24 h,1例为48 h;4例术后仍出现勃起功能障碍,其中1例持续勃起时间为12～24 h,2例为24~48 h,1例>48 h.3例失访.结论:持续缺氧及酸中毒是导致缺血型阴茎异常勃起预后不良的主要原因.对于勃起时间≤24 h患者,采取有效手段解除病理性勃起,可以有效避免继发不可逆转的阴茎勃起障碍;对于勃起时间>24 h患者,为避免进一步延误治疗时机,可直接选择手术治疗.
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| 关 键 词： | 阴茎异常勃起 缺血 治疗 预后 |
Practical management and prognosis of ischemic priapism(Report of 14 cases) |
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| DU Yuejun,TAN Wanlong,MAO Xiangming,ZHENG Shaobin,WU Peng,ZHANG Huijian,CHEN Pengliang,XIONGlin.Practical management and prognosis of ischemic priapism(Report of 14 cases)[J].Journal of Clinical Urology,2008,24(6). |
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| Authors: | DU Yuejun TAN Wanlong MAO Xiangming ZHENG Shaobin WU Peng ZHANG Huijian CHEN Pengliang XIONGlin |
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| Institution: | 1Department of Urology;Nanfang Hospital;Southern Medical University;Guangzhou;510515;China;2Department of Surgery 1st;187 Hospital of PLA |
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| Abstract: | Objective:To investigate the practical management and prognosis of ischemic priapism.Methods:The data from practical management and follow-up of 14 patients with ischemic priapism in our institution,from Feb.1992 to Apr.2006,were retrospectively analyzed.Results:The mean age of 14 cases was 31.5 years old,ranged from 18 to 71 years old.Resolutions occurred in 5 cases with non-surgical treatment and 9 cases with surgical treatment.The time to achieve sufficient detumescence was ranged from 0-9 days,mean for ... |
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| Keywords: | Priapism Ischemic Treatment Prognosis |
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