CAJ | 학술논문

目的：探讨低流量型阴茎异常勃起的诊断和治疗方法。方法回顾性分析13例阴茎异常勃起患者的临床资料。所有患者均为低流量型，持续勃起时间6~150h，平均35h。保守治疗6例，手术治疗7例。结果经治疗后，9例（69.2%）勃起完全消退，3例（23.1%）部分消退，1例（7.7%）转移性癌症所致勃起治疗无效。11例随访2~37个月，平均14.1个月，8例恢复正常勃起功能，2例出现勃起功能障碍（ED），2例失访。结论阴茎海绵体穿刺抽血行血气分析、海绵体彩色多普勒超声检查等有助于阴茎异常勃起准确及时诊断。对于勃起持续时间在24h以内者，采取有效非手术手段解除病理性勃起，可以避免继发不可逆转的阴茎勃起障碍；对于上述治疗无效或勃起持续时间超过24h患者，可直接选择手术治疗，以免延误有效的治疗时机。
목적：탐토저류량형음경이상발기적진단화치료방법。방법회고성분석13례음경이상발기환자적림상자료。소유환자균위저류량형，지속발기시간6~150h，평균35h。보수치료6례，수술치료7례。결과경치료후，9례（69.2%）발기완전소퇴，3례（23.1%）부분소퇴，1례（7.7%）전이성암증소치발기치료무효。11례수방2~37개월，평균14.1개월，8례회복정상발기공능，2례출현발기공능장애（ED），2례실방。결론음경해면체천자추혈행혈기분석、해면체채색다보륵초성검사등유조우음경이상발기준학급시진단。대우발기지속시간재24h이내자，채취유효비수술수단해제병이성발기，가이피면계발불가역전적음경발기장애；대우상술치료무효혹발기지속시간초과24h환자，가직접선택수술치료，이면연오유효적치료시궤。
Objective To explore the diagnosis and treatment of low flow priapism. Methods Clinical data of 13 patients with low flow priapism were retrospectively analyzed. All the cases were diagnosed as low flow priapism with a mean duration of 35hs, ranging from 6 to 150h. Six cases received non-surgical treatment and 7 cases surgical treatment. Results After treatment,9 cases (69.2%) had complete detumescence, 3 cases (23.1%) had partial deturmescence, 1 case (7.7%) with tumor metastasis had no resolution. After a follow-up in 11 cases for 2 to 37 months (mean 14.1 minths), normal erection occurred in 8 cases, ED in 2 cases, lost to follow-up in 2cases. Conclusion The cavernosal blood analysis and color Doppler ultrasound examination show great values in diagnosis of low flow priapism. Proper early interventions for patient with priapism within 24 h could prevent irreversible erectile dysfunction efficaciously. For patients with priapism over 24 h, surgical treatment could be applied directly to preserve the erectile function.