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目的:提高阴茎异常勃起的诊治水平。方法:对18例阴茎异常勃起患者的诊断和治疗进行了回顾性分析。结果:发病原因:白血病1例,海绵体注射罂粟碱16例,原因不明1例。发病至就诊时间4~18 h,平均7 h。均为低流量异常勃起。海绵体穿刺血液行血气分析3例,海绵体动脉血流彩色多普勒检查2例。17例经阴茎海绵体内注射缩血管药物、海绵体穿刺放血以及肝素化盐水冲洗后异常勃起消失。1例白血病诱发勃起的患者经上述治疗无效,后经化疗后恢复正常。结论:海绵体内注射罂粟碱诱发的阴茎异常勃起和白血病诱发的异常勃起均为低流量型异常勃起。阴茎海绵体内注射缩血管药物,海绵体穿刺放血冲洗可解除异常勃起。白血病诱发的异常勃起应强调原发病的治疗。
Objective: To improve the diagnosis and treatment of abnormal penile erection. Methods: 18 cases of penile erectile dysfunction were diagnosed and treated retrospectively. Results: The cause of the disease: leukemia in 1 case, cavernosal injection of papaverine in 16 cases, unknown cause in 1 case. The onset to treatment time 4 ~ 18 h, an average of 7 h. Low flow abnormalities are erectile. 3 cases of cavernous puncture blood gas analysis, 2 cases of cavernous artery color flow Doppler examination. 17 cases of penile cavernosal injection of vasoconstrictor drugs, cavernous puncture bleeding and heparinized saline flush abnormal erection disappeared. One patient with leukemia-induced erection was ineffective by the above treatment and returned to normal after chemotherapy. CONCLUSION: Papillary injection of papaverine-induced penile erection and leukemia-induced ectopic erection are all low-flow abnormal erections. Injecting vasoconstrictor drugs in the penis, cavernous body puncture bleeding can relieve abnormal erection. Leukemia-induced abnormal erection should emphasize the treatment of primary disease.