经皮阴茎穿刺及逆行静脉栓塞治疗静脉漏性阳萎

来源 :国外医学.泌尿系统分册 | 被引量 : 0次 | 上传用户:asd08061
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
由于静脉性阳萎患者仅结扎背深静脉远期疗效令人失望,而进行海棉体深静脉和阴茎脚静脉结扎往往产生阴茎皮肤知觉丧失、长度变短、弯曲、血肿形成等合并症,作者采用经皮穿刺阴茎背深静脉使用铂螺簧及硬化剂栓塞静脉治疗静脉漏性阳萎,有17例患者在局麻下成功施行了此技术。方法是:首先用Jopamidol显示出前列腺静脉丛和阴部内静脉,然后插入小导管,用铂螺簧堵塞海棉体出口、脚静脉近心端,远端再用铂螺簧及1~3.5ml的硬化剂(Varicocid注入。术后严格卧床24小时,10天之内不得性交。本组随访最长者23个月,6例有性交能力,5例需附加海绵体注射,总成功率为65%,5例无效,但其中2例阴茎增大,1例失访。术后有局部血肿或水肿,但无栓塞物引起血循堵塞或完全性盆腔 Due to the long-term curative effect of venous impotence ligation only in the dorsal veins, disappointing long-term curative effects of deep sea cupping and penile vein ligation often result in penile skin loss of consciousness, shorter length, flexion and hematoma formation. Percutaneous puncture of penile dorsal vein with platinum coil spring and sclerotherapy vein was used to treat venous leak impotence. Seventeen patients underwent local anesthesia. The method is as follows: firstly, the prostate venous plexus and the genital vein are displayed by Jopamidol, then the small catheter is inserted, the sponge body outlet is blocked with a platinum coil spring, the proximal end of the vein is covered with the platinum spiral spring and the 1 ~ 3.5ml Hardening agent (Varicocid infusion .Postoperative strict bed 24 hours, 10 days no sexual intercourse.This group were followed up for a maximum of 23 months, 6 cases of sexual intercourse, 5 cases need to attach cavernosal injection, the total success rate of 65% , 5 cases were ineffective, but 2 cases of penile enlargement and 1 case lost follow-up.Here hematoma or edema occurred after operation, but no embolism caused blood blockage or complete pelvic cavity
其他文献
作者用三苯氧胺(Tamoxifen)治疗了26例原发性男性不育症(无精子症除外)。对象和方法年龄26~41岁,平均32岁。婚期13~110个月,平均48个月。服药前精子数10×10~6/ml以下6例,10×
问题中式子的结构.数量关系的结构往往“暗示”了解题方向,所以,本文提出:要注意研究题目中的这两种结构. The structure of the problem in Chinese style. The structure
记得有一次,英语老师要我们看完《罗马假日》后,分小组表演短剧。这一下可急坏了我:是把DVD中的台词一句句抄下来?还是去买一本原版的书?后来你猜怎么着?好友向我推荐了“英
目的评估XE-2100全自动血液分析仪对异常白细胞报警的可信度。方法对105例XE-2100全自动血液分析仪有异常白细胞提示的标本及200例无异常细胞报警的标本进行手工推片、瑞氏染
免疫球蛋白作为免疫调节剂静脉输注已用于治疗特发性血小板减少紫瘢。免疫性白细胞减少症,重症肌无力、川畸病、纯抗体介导的红细胞发育不全症和抗遗传型自身抗体产生。本文
19世纪德国的政治家俾斯麦有一次在圣彼得堡参加舞会,其间,他频频赞美身边的舞伴长得美如天仙。可那女士说: “我才不相信你的话哩,你们外交官的话从来不可信。”俾斯麦问她