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目的探讨高流量阴茎异常勃起的诊断和治疗。方法总结我院自2001年至2007年收治的5例高流量阴茎异常勃起病例的病因、诊疗过程,并检索CNKI《中国期刊全文数据库》2001年—2007年文献,荟萃分析高流量阴茎异常勃起的病因、诊断和治疗方法。结果4例患者为会阴部外伤,1例为性交后出现。3例行高选择性阴部内动脉造影术及可吸收性明胶海绵选择性阴部内动脉栓塞术,随访8～12个月,勃起功能恢复;其余2例等待观察,随访12个月,勃起功能恢复。结论高流量阴茎异常勃起诊断主要依据体格检查、阴茎海绵体超声、海绵体血气分析。不需急诊治疗,应依据患者要求,选择保守治疗或动脉栓塞术。
Objective To investigate the diagnosis and treatment of abnormal high eyelid erection. Methods The etiology, diagnosis and treatment of five cases of high-volume penile erection in our hospital from 2001 to 2007 were summarized and the articles from 2001 to 2007 of CNKI China Journal Full-text Database were retrieved and meta-analysis of high-volume penile erection Etiology, diagnosis and treatment. Results 4 cases of perineal trauma, 1 case appeared after intercourse. 3 cases of high selective intra-arteria intra-arteriography and absorbable gelatin sponge selective intra-arteriae intima artery embolization, followed up for 8 to 12 months, erectile function recovery; the remaining 2 cases waiting to be observed, followed up for 12 months, erectile function recovery . Conclusion The diagnosis of high flow penile abnormal erection mainly based on physical examination, penile cavernous ultrasound, cavernous blood gas analysis. Do not need emergency treatment, should be based on patient requirements, choose conservative treatment or arterial embolization.