阴蒂异常勃起1例报告并文献复习

One Case Report of Clitoral Priapism and Literature Review

目的 :探讨阴蒂异常勃起的临床特点。 方法 :报告 1例 2 9岁已婚女性患者阴蒂异常勃起 ,结合文献复习阴蒂异常勃起的病因、诊断和处理方法。 结果 :患者阴蒂异常勃起 6 0h ,经在阴蒂海绵体内注射α肾上腺素激动剂后 ,阴蒂异常勃起治愈。 结论 :阴蒂异常勃起极其罕见 ,其原因主要是使用抗抑郁药物和盆腔恶性肿瘤压迫和浸润阴蒂静脉使血液回流受阻所致 ,阴蒂海绵体内注射α肾上腺素激动剂是一种行之有效的治疗方法。

Objective: To investigate the clinical characteristics of female clitoral priapism. Methods: A 29-year-old case of painful priapism of the clitoris lasting 60 hours was reported. The etiology,diagnosis and treatment of clitoral priapism were discussed and the literature reviewed. Results: The patient was cured by intracavernous administration of adrenaline. Conclusion: Clitoral priapism is extraordinarily rare. It is primarily due to oral antidepressant drugs or pelvic malignant neoplasm which leads to tissue infiltration of the clitoral veins and obstruction of the clitoral corporeal blood flow. The efficient therapeutic approach to clitoral priapism is intracavernous administration of α-agonists similar to the treatment of penile priapism.