[1]郝传玺,金 龙,高 健,等. 明胶海绵超选择血管栓塞治疗高流量性阴茎异常勃起五例[J].介入放射学杂志,2014,(04):337-339.
 HAO Chuan-xi,JIN Long,GAO Jian,et al. Super-selective endovascular embolization with Gelfoam for the treatment of high-flow priapism[J].journal interventional radiology,2014,(04):337-339.
点击复制

 

明胶海绵超选择血管栓塞治疗高流量性阴茎异常勃起五例

()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年04期
页码:
337-339
栏目:
临床研究
出版日期:
2014-04-29

文章信息/Info

Title:
 Super-selective endovascular embolization with Gelfoam for the treatment of high-flow priapism
作者:
 

郝传玺 金 龙 高 健 陈 雷 陈 尘 张万蕾 洪 楠

Author(s):
 HAO Chuan-xi JIN Long GAO Jian CHEN Lei CHEN Chen ZHANG Wan-lei HONG Nan.
 

Department of Radiology, People’s Hospital of Peking University, Beijing 100044, China

关键词:
 

【关键词】 超选择血管栓塞 明胶海绵 高流量性阴茎异常勃起

文献标志码:
A
摘要:
 

【摘要】 目的 探讨使用明胶海绵经导管超选择性栓塞治疗高流量性阴茎异常勃起的临床疗效。方法 2004年4月—2010年11月收治5例高流量性阴茎异常勃起患者,其中4例有明确外伤史,1例为直肠癌阴茎转移。所有患者均行海绵体血气分析、海绵体彩色多普勒超声(彩超)以及髂内动脉造影检查,确认血管异常后以明胶海绵行超选择性阴部内动脉栓塞。术后随访30 ~ 109个月。结果 5例患者彩超均提示海绵体动脉高速低阻血流,3例患者海绵体球部可见明确异常血池。1例血管造影可见右侧阴部内动脉-海绵体瘘,2例可见左侧阴部内动脉-海绵体瘘,1例右侧阴茎背动脉及阴茎海绵体动脉增粗,1例患者双侧阴部内动脉异常增粗。栓塞后所有患者异常勃起症状即刻消失,术后随访除阴茎转移癌患者于栓塞后7个月死亡外,所有患者性功能均恢复到伤前水平。结论 采用明胶海绵超选择性栓塞阴部内动脉是治疗高流量性阴茎异常勃起的有效方法,明胶海绵作为栓塞剂可以很好地保护勃起功能。

参考文献/References:

 

[1] Abujudeh H, Mirsky D. Traumatic high?蛳 flow priapism: treatment with super?蛳 selective micro?蛳 coil embolization[J]. Emerg Radiol, 2005, 11: 372 ?蛳 374.

[2] Merlob P, Livne PM. Incidence, possible causes and followup of idiopathic prolonged penile erection in the newborn[J]. J Urol, 1989, 141: 1410 ?蛳 1412.

[3] Majeed S, Schor JA, Jacobson S, et al. Refractory priapism of unknown etiology in a pediatric patient[J]. Pediatr Emerg Care, 2000, 16: 347 ?蛳 351.

[4] Pryor J, Akkus E, Alter G, et al. Priapism[J]. J Sex Med, 2004, 1: 116 ?蛳 120.

[5] Keck B, Lotter G, Wieland WF, et al. Sonographic diagnosis of a posttraumatic arteriocavernosal fistula resulting in high?蛳 flow priapism[J]. J Clin Ultrasound, 2012, 40: 60 ?蛳 62.

[6] Hatzichristou D, Salpiggidis G, Hatzimouratidis K, et al. Management strategy for arterial priapism: therapeutic dilemmas[J]. J Urol, 2002, 168: 2074 ?蛳 2077.

[7] Kuefer R, Bartsch G, Herkommer K, et al. Changing diagnostic and therapeutic concepts in high?蛳 flow priapism[J]. Int J Impot Res, 2005, 17: 109 ?蛳 113.

[8] Bastuba MD, Saenz de Tejada I, Dinlenc CZ, et al. Arterial priapism: diagnosis, treatment and long?蛳 term followup[J]. J Urol, 1994, 151: 1231 ?蛳 1237.

[9] Numan F, Cantasdemir M, Ozbayrak M, et al. Posttraumatic nonischemic priapism treated with autologous blood clot embolization[J]. J Sex Med, 2008, 5: 173 ?蛳 179.

[10] Kress O, Heidenreich A, Klose KJ, et al. Superselective embolization with coils in high?蛳 flow priapism[J]. Cardiovasc Intervent Radiol, 2002, 25: 326 ?蛳 329.

[11] 邹英华, 郭中恒, 辛忠诚, 等. 微圈栓塞海绵体动脉瘘治疗外伤性阴茎异常勃起的疗效评价[J]. 介入放射学杂志, 2008, 17: 700 ?蛳 702.

[12] Liu BX, Xin ZC, Zou YH, et al. High?蛳 flow priapism: superselective cavernous artery embolization with microcoils[J]. Urology, 2008, 72: 571 ?蛳 573.

[13] Cantasdemir M, Gulsen F, Solak S, et al. Posttraumatic high?蛳 flow priapism in children treated with autologous blood clot embolization: long?蛳 term results and review of the literature[J]. Pediatr Radiol, 2011, 41: 627 ?蛳 632.

[14] Pieri S, Agresti P, La Pera G, et al. Post?蛳 traumatic high flow priapism percutaneously treated with transcatheter embolisation[J]. Radiol Med, 2005, 110: 370 ?蛳 377.

[15] 敖 劲, 张跃伟, 徐 克. 明胶海绵微粒经动脉栓塞治疗原发性肝癌的研究现状[J]. 介入放射学杂志, 2011, 20: 1010 ?蛳 1013.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(04):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(04):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(04):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(04):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(04):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(04):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(04):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(04):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(04):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(04):190.

备注/Memo

备注/Memo:
 收稿日期:2013-07-02
更新日期/Last Update: