老年自发性高流量阴茎异常勃起(附1例报告及文献复习)

Spontaneous High Flow Arterial Priapism of Old Males(one Case Report and Review)

目的 :探讨高流量阴茎异常勃起的病因与发病机制 ,提高对高流量阴茎异常勃起的诊断和治疗的认识。 方法 :报告 1例老年自发性高流量阴茎异常勃起病人的临床资料。 结果 :动脉血管造影提示右侧阴茎海绵体动脉破裂 ,海绵体血气分析结果正常。行明胶海绵体栓塞术 ,术后阴茎很快转入疲软状态。 结论 :老年自发性高流量阴茎异常勃起 (非缺血性 )较少见 ,保守治疗无效时需采用血气分析和动脉造影确定出血部位后行栓塞或海绵体动脉结扎术。

Objectives: To investigate the correlation between corpus cavernosum disruption and high-flow priapism for the understanding of high-flow priapism and its treatment. Methods: To report the clinical data of a case of spontaneous idiopathic high-flow priapism. Results: The diagnosis was made as right cavernosal artery disruption after angiography. The result of cavernosal blood gas analysis was normal. The penis became detumescent after the gelatin embolization treatment was performed. Conclusions: Spontaneous high-flow priapism of old people(non-ischemic) is rare in clinic. Blood gas analysis and angiography are needed to find the hemorrhage site when conservative treatment fails. Gelatin embolization or cavernosal artery ligation are usually effective in the subsequent treatment.