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目的分析2例外伤后高血流性阴茎异常勃起的治疗,提高高血流性阴茎异常勃起的诊断、处理能力。方法 2007年10月至2008年10月2例患者因尿道扩张及会阴部外伤后出现阴茎无痛性持续性勃起;经阴茎海绵体穿刺血气分析分析鉴别疾病类型,血常规、肝肾功能等检查排除其他致病因素,阴茎彩色超声多普勒及超选择性阴茎内动脉造影发现异常血流;采用阴茎海绵体穿刺放血、局部冰敷、持续阴茎内注射药物等保守治疗无效后行阴部内动脉栓塞术。结果 2例患者分别栓塞术后4d、2d阴茎疲软,随访6个月、12个月勃起功能正常,均无复发。结论阴茎穿刺血气分析、彩色超声多普勒及阴部内动脉造影术是诊断高血流性阴茎异常勃起的有效诊断方法,超选择阴部内动脉栓塞术具有良好的治疗效果。
Objective To analyze the treatment of 2 cases of hypertensive penile erection after trauma and to improve the diagnosis and treatment ability of abnormal penis of high blood flow penis. Methods From October 2007 to October 2008, two patients developed persistent penile erection after urethral dilatation and perineal trauma. The penile cavernous puncture blood gas analysis was used to identify the type of disease, blood tests, liver and kidney function tests Exclusion of other risk factors, penile color Doppler ultrasound and penile penile artery angiography found abnormal blood flow; penile cavernous puncture bleeding, local ice, continuous penile injection of drugs and other conservative treatment ineffective after the intravaginal artery Embolization. Results In 2 patients after embolization, the penis was weak at 4 days and 2 days, respectively. The follow-up period was 6 months and 12 months. Erectile function was normal and no recurrence occurred. Conclusion Penile puncture blood gas analysis, color Doppler ultrasound and intra-uterine artery angiography is an effective diagnostic method for the diagnosis of abnormal high blood flow penile erection. Superselective intravaginal embolization has a good therapeutic effect.