静脉阻塞性阴茎异常勃起17例诊治分析

目的:探讨静脉阻塞性阴茎异常勃起的诊断和治疗方法。方法:回顾性分析17例静脉阻塞性阴茎异常勃起患者的诊治方法。结果:17例患者均通过病史、体检、海绵体抽吸血气分析及多普勒超声检查确诊。经保守、海绵体抽吸、海绵体内注射药物及手术治疗后,17例患者中11例异常勃起完全消退,5例部分消退,1例因阴茎肿瘤治疗无效。随访2~6个月,其中3例出现ED。结论:阴茎海绵体血气分析、海绵体彩色多普勒检查对静脉阻塞性阴茎异常勃起有诊断价值,早期及正确应用海绵体注射药物和阴茎海绵体-尿道海绵体分流术是治疗静脉阻塞性阴茎异常勃起的可靠方法。

Diagnosis and Treatment of Veno-occlusive Priapism(A Report of 17 Cases)

Objective: To explore the diagnosis and treatment of veno-occlusive priapism.Methods: The diagnosis and treatment of 17 cases of veno-occlusive priapism were analyzed retrospectively.Results: All the 17 patients were evaluated by physical examination,cavernous blood gas analysis and color Doppler ultrasonography,and treated by conservative therapy,intracavernosal aspiration and injection,surgical operation.After treatment,11 cases achieved complete detumescence,5 cases partial detumescence and 1 case of penile cancer failed to respond.During the 2-6 months follow-up,erectile dysfunction occurred in 3 cases.Conclusion: Cavernous blood gas analysis and color Doppler ultrasonography are helpful to the diagnosis of veno-occlusive priapism.Early and correct intracavernosal injection and corpora cavernosa-corpus spongiosum shunt are effective ways to treat veno-occlusive priapism.