摘要
目的:回顾本院收治的缺血性阴茎异常勃起(IP)的临床资料和随访结果,为合理治疗IP提供依据。方法:分析自2004年至2010年收治的IP的临床资料,并通过电话和门诊就诊的方式随访。结果:8例IP就诊前均在外院接受过不同方式的减压治疗,失败后转入本院。年龄平均34.5岁,缺血时间平均84.5h(36~132h)。在本院行阴茎海绵体穿刺抽吸冲洗后完全疲软1例,部分疲软7例;进一步行Al-Ghorab分流术,成功2例,失败5例。对失败者施行T型分流术,5例完全疲软。成功随访5例,2例中度ED,3例完全性ED。与中度ED相比,完全性ED者缺血时间较长。结论:减压治疗失败后,早期尝试T型分流术可提高IP治疗的成功率。
[ Abstract] Objective : To investigate the management of ischemic priapism (IP) by analyzing the clinical and follow-up data of IP patients. Methods : We retrospectively reviewed the clinical data of 8 IP patients treated in our hospital from January 2004 to June 2010 and analyzed the results of follow-ups by telephone calls and clinic visits. Results : The average age of the patients was 34.5 (23 -41 ) years and the mean duration of priapism was 84.5 (36 -132) hours. All the patients had received previous detumescence treatment but failed before referred to our hospital. Irrigation/aspiration was performed at first, which achieved complete detumescence in 1 case and partial or transitional detumescenee in the other 7. Subsequently, bilateral A1-Ghorab shunt was tried and succeeded in 2 cases but failed in 5. Finally, T-shunt was conducted, which achieved complete resumption in all the remaining 5 cases. Follow-up da- ta were available in 5 of the cases, which were followed up for 12 - 66 ( mean 54) months. Of the 5 cases, moderate ED occurred in 2, and complete ED in 3. The latter 3 had suffered a longer duration of IP than the former 2. Conclusion : If detumescence failes, early intervention by T-shunt can improve the success rate of IP treatment. Natl J Androl, 2013, 19 (11) : 988 -990
出处
《中华男科学杂志》
CAS
CSCD
2013年第11期988-990,共3页
National Journal of Andrology