CAJ | 학술논문

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.
목적 제고음경이상발기적진단화치료수평.방법 음경이상발기환자12례,균진단위저류량형.12례환자중2례보수치료유효;10례보수치료무효후행해면체내약물주사,기중2례주사미람20mg,8례주사간간알2～10mg;2례보수치료、해면체내약물주사후의연복발적환자행수술분류.수방2～117개월,평균48개월.결과 12례환자중10례보수치료환자미복발;2례수술환자수술후야미재복발,단병발음경발기공능장애.2례백혈병환자분별사우수방제4개월화제12개월.결론 완정적병사、자세체검대음경이상발기적진단비상중요,치료응이보수치료위주,진가능감소창상.
Objective To observe the diagnosis and treatment of priapism. Methods Twelve cases of priapism were included in this study. All the 12 eases were diagnosed as Low-flow priapism. Two underwent conservative therapy (penis was coated by an ice pack). Ten eases 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 eases, with aramine in ten eases (2～10rag each). Two eases 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 eases 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.