【摘要】 目的 提高阴茎异常勃起的诊治水平。方法 回顾性分析15例阴茎异常勃起病例资料，结合文献复习进行讨论。结果 将病例分成低流量型和高流量型两组。低流量组中白血病6例，予全身化疗，随访5例，4例死亡，1例发生勃起功能障碍(ED);药物性2例，原因不明5例，均行海绵体灌洗及分流术，随访中5例出现ED，2例恢复性生活。高流量组中，外伤1例，反复予海绵体注射阿拉明及挤压排空，术后性生活正常;另1例行阴茎海绵体动脉造影发现动脉灌注比例失调，行单侧海绵体栓塞，术后半年恢复勃起。结论 阴茎海绵体动脉灌注比例失调可引起高流量型异常勃起，选择性海绵体动脉栓塞是其有效安全的治疗方法，高流量型疗效优于低流量型。

    关键词 阴茎异常勃起 诊断 治疗

    The diagnose and treatment of priapism

    Chen Junxing，Qiu Shaopeng，Deng Chunhua，et al.

    Department of Urology，First Affiliated Hospital of Sun Yat-sen University，Guangzhou510080.

    【Abstract】 Objectives To summarize the experiences in15cases of priapism and improve the diagnosis and treatment.Methods From1972to2002，15cases of priapism were admitted in our hospital，all the medical records were reviewed retrospectively，we focused on clinical situation，assist examination，diagnosis and thetherapy of all the patients ......