12例阴茎异常勃起临床分析

Twelve cases of priapism analysis

目的提高阴茎异常勃起的诊断和治疗水平。方法阴茎异常勃起患者12例，均诊断为低流量型。12例患者中2例保守治疗有效；10例保守治疗无效后行海绵体内药物注射，其中2例注射美蓝20mg，8例注射间羟胺2～10mg；2例保守治疗、海绵体内药物注射后依然复发的患者行手术分流。随访2～117个月，平均48个月。结果12例患者中10例保守治疗患者未复发；2例手术患者手术后也未再复发，但并发阴茎勃起功能障碍。2例白血病患者分别死于随访第4个月和第12个月。结论完整的病史、仔细体检对阴茎异常勃起的诊断非常重要，治疗应以保守治疗为主，尽可能减少创伤。

Objective To observe the diagnosis and treatment of priapism, Methods Twelve cases of priapism were included in this study, All the 12 cases were diagnosed as Low-flow priapism. Two underwent conservative therapy （penis was coated by an ice pack）, Ten cases who failed conservative therapy underwent the other therapy that draws blood from the cavernosa which was irrigated by saline then; drugs were injected into the cavernosa, Specifically methylene blue was injected in two cases, with aramine in ten cases （2 -10mg each）, Two cases that had no response to ice pack or intracavernous injection underwent shunt surgery, The follow-up time ranged from Two months to 117 months, Results Twelve cases had no recurrence of priapism, Two cases died of leukemia at 4 and 12 months respectively. Conclusion History inquiry and physical examination are essential to the diagnosis and treatment of prapism, The prognosis is related with the erection time, Complications can be reduced with early diagnosis and proper treatment,