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題 名 | Bilateral Superselective Arterial Microcoil Embolization in Post-Traumatic High-Flow Priapism: A Case Report=利用兩側選擇性動脈血管栓塞治療外傷引起之高血流強直性陰莖勃起--病例報告 |
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作 者 | 李永進; 沈榮宗; 石明誠; 陳重欽; 周以和; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 19:2 2003.02[民92.02] |
頁 次 | 頁79-83 |
分類號 | 415.861 |
關鍵詞 | 動脈血管栓塞; 強直性勃起; 偽動脈瘤; Priapism; Pseudoaneurysm; Arterial embolization; |
語 文 | 英文(English) |
中文摘要 | 強直性勃起是指在無性刺激下卻發生陰莖勃起過久的現象。其中,屬高血流性的強直性陰莖勃起並不常見,且常發生在生殖會陰部受到外傷之後。主因為在供應陰莖的動脈此時受到損傷,而產生動靜脈_管(有時會形成偽動脈瘤)所致,而由這樣所產生的損傷很少兩側同時發生。本文報告一位成功治療因外傷性偽動脈瘤(源自兩側海綿體動脈)所引起之高血流強直性勃起病例。經由陰莖海綿體血氧分析、彩色都卜勒超音波及血管攝影術確立診斷。在治療上,則採用金屬微粒進行兩側選擇性動脈栓塞,使患者之強直性勃起成功消退,且無併發症產生。患者於術後第二天便開始有晨醒自然勃起,且在治療後八個月仍保有正常勃起功能。本病例說明了利用選擇性動脈血管栓塞,可成功治療兩側性陰莖動靜脈_管而不影響勃起功能,並且對於會陰部外傷的男性,必須重視並告知其發生高血流性強直性勃起的可能性。 |
英文摘要 | Priapism is a prolonged penile erection unrelated to sexual stimulation. High-flow arteriogenic priapism is uncommon and usually occurs after genitoperineal trauma, which may damage a feeding cavernosal artery, leading to an arteriovenous fistula and, occasionally, to an associated pseudoaneurysm. The defects rarely occur bilaterally. Herein, we report successful treatment of high-flow priapism secondary to a traumatic pseudoaneurysm fed from the bilateral cavernosal artery. Diagnosis was made after cavernosal blood gas analysis, color Doppler ultrasonography, and superselective angiography. Treatment consisted of superselective arterial embolization using metallic microcoils and resulted in simultaneous detumescence of the penis with no complications. The patient regained morning erection on the second postoperative day and erectile function remained normal 8 months after treatment. This case shows that bilateral arteriocavernosal fistulae can be successfully treated with superselective arterial embolization without affecting potency and highlights the importance of warning men about the possibility of developing high-flow priapism following a perineal trauma. |
本系統中英文摘要資訊取自各篇刊載內容。