高流量型阴茎异常勃起的诊断和治疗进展
Advances in the diagnosis and treatment of high-flow priapism
文家豪 1李馨 2李春民1
作者信息
- 1. 首都医科大学附属北京朝阳医院血管外科,北京 100020
- 2. 首都医科大学附属北京朝阳医院泌尿外科,北京 100020
- 折叠
摘要
高流量型阴茎异常勃起是阴茎异常勃起中少见的类型,主要包括创伤型、神经源型和分流后型,其中创伤型是主要类型.高流量型阴茎异常勃起的病因主要与各种类型的损伤如外伤、脊髓损伤有关,其发病机制是动脉-海绵体窦瘘形成.因高流量型阴茎异常勃起不会导致阴茎缺血缺氧,所以其首选治疗方法为保守治疗.当保守治疗无效时应及时施行介入栓塞治疗.当保守治疗无效或反复介入栓塞无法缓解症状时应行手术治疗.高流量型阴茎异常勃起患者一般预后较好,多数能保留勃起功能.
Abstract
High-flow priapism(HFP)is a rare type of priapism,mainly including traumatic HFP,neurogenic HFP and post-shunting HFP,of which the traumatic is the main type of HFP.The etiology of HFP is mainly related to various kinds of injuries such as trauma and spinal cord injury,and its pathogenesis is arterio-cavernosal fistula formation.Because HFP does not lead to ischemia and hypoxia,conservative treatment is preferred.Interventional embolization should be performed promptly when conservative treatment is ineffective.Surgical treatment should be performed when conservative treatment is ineffective or repeated interventional embolization fails to relieve symptoms.Patients with HFP generally have a better prognosis,and most of them can preserve erectile function.
关键词
高流量型阴茎异常勃起/阴茎勃起异常/诊断/治疗Key words
High-flow priapism/Priapism/Diagnose/Therapeutics引用本文复制引用
出版年
2024
NETL
NSTL
万方数据