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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9例阴茎异常勃起患者的诊治过程。结果9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。经镇静、局部冷敷、海绵体抽吸血液、海绵体内注射药物及手术等不同方法治疗后,8例缺血性阴茎异常勃起患者中5例完全消退,3例部分消退;1例非缺血性阴茎异常勃起患者部分消退。5例随访6个月,其中4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阴茎异常勃起有重要诊断价值,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加术中冲洗是治疗缺血性阴茎异常勃起的可靠方法,但是由于大多数病人持续勃起时间较长,ED的发生率偏高。
Objective To investigate the diagnosis and treatment of penile erectile dysfunction. Methods The diagnosis and treatment of nine patients with abnormal penile erection were retrospectively analyzed. Results Nine patients were diagnosed by medical history, physical examination, cavernous suction blood gas analysis and Doppler ultrasound examination. After sedation, local cold compress, cavernous pumping of blood, intracavernous injection of drugs and surgery and other different methods of treatment, 8 of 8 patients with ischemic penile erection completely subsided, 3 patients partially subsided; 1 non-ischemic Patients with abnormal penile erection partially subsided. Five cases were followed up for 6 months, of which 4 cases showed ED. Conclusion Blood gas analysis of the corpus cavernosum and color Doppler examination of the corpus cavernosum have important diagnostic value on abnormal penile erection. Early and correct application of corpus cavernosum injection and penis cavernous shunt is an effective method for the treatment of ischemic penile Reliable method of erectile dysfunction, but because most patients have persistent erections for a long time, the incidence of ED is high.