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经临床检查确诊为静脉漏性阳萎20例,年龄为29～77岁,在局麻下于阴茎根部行背深静脉穿刺,成功17例,注入稀释的造影剂,显示前列腺前静脉丛和阴部内静脉,然后插入一根细的导管,将铂螺丝圈放到海绵体静脉和阴茎脚静脉的近端,阻塞这两条静脉的回流,可以安放多个铂螺丝圈,在其远端注入1～3.5ml varicocid(一种血管硬化剂),严格卧床24h,10天内不进行性交和按摩阴茎。 5例疗效不满意的病人中,4例改行经股静脉髂内静脉插管,逆行阻塞引流阴茎的静脉,另1例重复经皮经阴茎穿刺操作。全部病人术后都有阴茎水肿和不同程度的淤血,但未遇到螺丝圈移位和全部盆腔深静脉栓塞等严重并发症。最长随访时间为23个月,16例获得随访的病人
Diagnosed clinically as venous leakage 20 cases, aged 29 to 77 years old, under the local anesthesia in the penis dorsal deep venous puncture, the successful 17 cases, injection of diluted contrast medium, showing the anterior pituitary and genitals Insert a thin catheter into the proximal end of the cavernosal vein and the penis foot vein to block the reflux of the two veins and allow placement of multiple platinum screw circles with a 1 ~ 3.5ml varicocid (a vascular sclerosing agent), strictly confined bed for 24h, 10 days without sexual intercourse and massage the penis. Of the 5 patients who were not satisfied with the curative effect, 4 were diverted through the femoral vein iliac vein cannulation, retrograde occlusion of the penile vein, and the other 1 were repeated percutaneous penile puncture. All patients had penile edema and different degrees of congestion, but did not encounter the screw circle shift and all serious pelvic deep vein thrombosis and other complications. The longest follow-up was 23 months and 16 patients were followed up