超选择栓塞治疗有假性动脉瘤的高流量性阴茎异常勃起

发布时间：2018-10-23 16:19

【摘要】：目的评价超选择性栓塞治疗有假性动脉瘤的高流量性阴茎异常勃起的技术与疗效。方法 2006年6月—2012年9月我院介入科共收治有假性动脉瘤的高流量性阴茎异常勃起患者3例,采用明胶海绵进行超选择插管栓塞,栓塞术后评价患者的阴茎勃起状态,并分别于术后3、6个月对患者进行彩色多普勒超声随访,对勃起功能随访20~92个月,根据国际勃起功能指数5(IIEF5)评分标准进行评价。结果超选择动脉插管及栓塞均获得成功。12个月内随访发现1例患者因过度栓塞出现轻度勃起功能障碍,IIEF5评分15分,2例患者勃起功能正常,评分22分和23分,随访期内所有患者未再复发。结论超选择栓塞对治疗有假性动脉瘤的高流量性阴茎异常勃起安全、有效,正确超选择靶血管及合适的栓塞剂用量是成功的关键。
[Abstract]:Objective to evaluate the technique and effect of superselective embolization in the treatment of high flow abnormal erectile penis with pseudoaneurysm. Methods from June 2006 to September 2012, 3 patients with high flow abnormal erection of penis with pseudoaneurysm were treated in our interventional department. Superselective embolization with gelatin sponge was used to evaluate the penile erectile status after embolization. The patients were followed up by color Doppler ultrasound at 3 months and 6 months after operation respectively. The erectile function was followed up for 20 ~ 92 months and evaluated according to the international erectile function index 5 (IIEF5) score. Results after 12 months of follow-up, one patient had mild erectile dysfunction due to excessive embolization, the IIEF5 score was 15, 2 patients had normal erectile function with 22 and 23 points. No recurrence occurred in all patients during the follow-up period. Conclusion Super-selective embolization is safe and effective in the treatment of high flow abnormal erection of penis with pseudoaneurysm. The key to success is the correct choice of target vessels and appropriate dosage of embolization agent.
【作者单位】：苏州大学附属第一医院介入科;
【分类号】：R697.14

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