低流量型阴茎异常勃起诊断和治疗（附1例报告并文献复习）

Diagnosis and treatment of low-flow priapism （a case report and literature review）

目的 探讨低流量型阴茎异常勃起的临床特点和治疗方法,提高急诊处理水平.方法 患者均通过病史、体检、海绵体抽吸血气分析及多普勒超声检查确诊为低流量性阴茎异常勃起,给予保守治疗、海绵体灌洗、海绵体内注射药物及行阴茎海绵体尿道海绵体分流术.结果 患者行保守治疗欠佳,行手术治疗阴茎异常勃起完全消退,但术后随访出现ED.结论 详细的病史、阴茎海绵体血气分析、彩色多普勒检查等是区分高流量型和低流量型阴茎异常勃起的重要方法,阴茎异常勃起如保守治疗无效,应立刻进行手术治疗.

Objectives To investigate the clinical characteristics and treatment of low-flow priapism,improve emergency treatment level.Methods Patients were treated by medical history,physical examination,blood gas analysis of pumping and Doppler ultrasound examination confirmed the diagnosis of low-flow priapism,given conservative treatment,cavemous lavage,intracavernous injection of drugs and penile spongiosum shunt.Results The patients underwent conservative treatment is poor,operation treatment of priapism subsided completely,but the postoperative follow-up of ED.Conclusions Detailed history,penile cavernous blood gas analysis,color Doppler examination is the distinction between high flow and low flow priapism important method,priapism as invalid conservative treatment,operation treatment should be immediately.