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目的探讨高流量性阴茎异常勃起的诊断和治疗方法。方法复习3例高流量性阴茎异常勃起,2例会阴部外伤所致,1例原因不明。行体检、血气分析、阴茎彩色超声、阴部内动脉血管造影等检查,并分别行阿拉明注射、穿刺放血、阴茎头-阴茎海绵体分流、明胶海绵动脉瘘栓塞等治疗。结果2例明确诊断为高流量性阴茎异常勃起,右侧动脉瘘栓塞后勃起完全消失,随访短期内勃起功能恢复。1例诊断模糊,行分流手术后勃起不完全消退,随访2年内发生勃起功能障碍。结论选择性阴部内动脉造影和栓塞治疗是高流量性阴茎异常勃起有效的诊治方法。
Objective To investigate the diagnosis and treatment of abnormal high penile penile erection. Methods Three cases of abnormal high eyelid penile erection, two cases of perineal trauma, one case of unknown cause. Physical examination, blood gas analysis, penile color ultrasound, intra-umbilical artery angiography and other tests, and were the injection of Alamin, puncture and bleeding, penis head - penis cavernous shunt, gelatin sponge fistula embolism and other treatment. Results 2 cases were diagnosed as high-flow abnormal penis erection, right eustachian embolism completely disappeared after erection, follow-up erectile function recovered within a short period of time. One case was diagnosed as vague, and the erection did not subside completely after shunt operation. Erectile dysfunction occurred within 2 years of follow-up. Conclusions Selective intracapsular intra-arterial angiography and embolization are effective methods for the diagnosis and treatment of abnormal high penile penile erections.