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目的探讨阴茎异常勃起的诊断及治疗。方法回顾性分析14例阴茎异常勃起患者的诊治经过。结果通过体查、海绵体抽吸血气分析及多普勒超声扫描等方法,低流量型阴茎异常勃起13例,高流量型1例。经保守、海绵体抽吸、肾上腺素海绵体内注射治疗及手术处理,患者勃起均消退。随访3~16个月,5例出现勃起功能丧失。结论准确判断阴茎异常勃起的类型有助于治疗方式的选择,阴茎海绵体血气分析结合多普勒超声扫描有助于分类的判断;阴茎海绵体穿刺抽吸结合肾上腺素反复灌洗,是一种简单、有效和副作用较少的治疗异常勃起的方式。
Objective To investigate the diagnosis and treatment of abnormal penile erection. Methods The diagnosis and treatment of 14 cases of abnormal penis erectile dysfunction were retrospectively analyzed. Results Through investigation, cavernous suction blood gas analysis and Doppler ultrasound scanning, 13 cases of low-flow type penile erection and 1 case of high-flow type. After conservative, cavernous suction, intracavernosal adrenaline injection and surgical treatment, patients ebbed. Follow-up 3 to 16 months, 5 cases of erectile dysfunction. Conclusion Accurately determine the type of penile erection is helpful for the choice of treatment method. The analysis of penile cavernous blood gas analysis combined with Doppler echocardiography is helpful for classification judgment. The penis cavernous aspiration and epinephrine repeated lavage are a kind of Simple, effective and less side effects of the treatment of erectile dysfunction.