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患者男性,27岁,无外伤及糖尿病史,阴茎不能勃起5年,无法进行性交,1988年10月19日入院,查体无异常。罂粟碱30mg阴茎海绵体内注入仅见阴茎略增粗而未挺举,生理盐水200ml1分钟内注入阴茎海绵体内见阴茎勃起不坚,注完即萎软,多普勒可听到明显的阴茎背动脉血流音,阴茎背动脉收缩压/肱动脉收缩压指数为0.78,诊断为静脉性阳萎。11月2日在骶麻下行阴茎背深静脉结扎术及阴茎海绵体剥离术(将阴茎海绵体从冠状沟处剥离至阴茎根部),剥离完毕即见阴茎海绵体充盈增粗,术后诉阴茎胀痛渐重,下午始出现阴茎持续勃起,阴茎与躯体纵轴成80°角。予
Male patient, 27 years old, no history of trauma and diabetes, the penis can not erect for 5 years, unable to intercourse, admitted to hospital on October 19, 1988, physical examination was normal. Papaverine 30mg penis injected into the penis only slightly thickening without jerk, saline 200ml1 minute into the penile cavernous see penile erection is not strong, note that wilting end, Doppler can hear the obvious dorsal penile artery blood flow Tone, penile artery systolic pressure / brachial artery systolic pressure index was 0.78, diagnosed as venous impotence. November 2 in the sacral anesthesia penis dural deep vein ligation and penis cavernous stripping (the penis from the coronal dural stripping to the penis root), peel finished penile cavernous filling thickening, postoperative complaints penis Increased pain and pain, the penis began to appear in the afternoon continued to erect, the penis and the longitudinal axis of the body at 80 ° angle. Give