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山东大学学报(医学版) ›› 2017, Vol. 55 ›› Issue (11): 85-88.doi: 10.6040/j.issn.1671-7554.0.2017.581

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铜丝穿刺治疗阴茎血管瘤10例

王添印1,孙鹏2,吴桐3,张栋2   

  1. 1. 山东省卫生和计划生育委员会医疗管理服务指导中心, 山东 济南 250014;2. 山东大学附属省立医院泌尿微创中心, 山东 济南 250021;3. 山东大学附属省立医院中医科, 山东 济南 250021
  • 收稿日期:2016-11-03 出版日期:2017-11-10 发布日期:2017-11-10
  • 通讯作者: 张栋. E-mail:zd_sdu@163.com E-mail:zd_sdu@163.com
  • 基金资助:
    山东省医药卫生科技发展计划(2014WS0091);山东省自然科学基金(ZR2015HQ002);中国博士后科学基金(2016M590641);国家自然科学基金(81602226)

Application of copper wire percutaneous insertion in the treatment of cavernous hemangioma of penis: with 10 cases

WANG Tianyin1, SUN Peng2, WU Tong3, ZHANG Dong2   

  1. 1. Health and Family Planning Commission, Shandong Province Medical Guidance Center, Jinan 250014, Shandong, China;
    2. Minimally Invasive Urology Center, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    3. Department of Traditional Chinese Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Received:2016-11-03 Online:2017-11-10 Published:2017-11-10

摘要: 目的 探讨铜丝穿刺疗法治疗阴茎血管瘤的临床疗效。 方法 回顾性分析2008年6月~2016年6月采用铜丝穿刺技术治疗10例(12~32岁)阴茎血管瘤患者的治疗过程。病变位于阴茎头部4例,阴茎体部6例。所有患者均采用铜丝穿刺疗法。对术后恢复情况等进行分析。 结果 所有患者均手术成功,术后随访1~5年无明显并发症出现。所有患者对手术后的美容效果较满意。其中1例病变体积较大者,2个月后复发行二次手术。 结论 铜丝穿刺技术治疗阴茎血管瘤操作简单,安全可靠,是治疗阴茎血管瘤的一种有效方法。

关键词: 海绵状血管瘤, 美容手术, 阴茎, 铜丝

Abstract: Objective To study the safety, feasibility and cosmetic effect of copper wire therapy in treating cavernous hemangioma of penis. Methods Ten patients age ranging from 12 to 32 years old with penile cavernous hemangiomas entered our study from June 2008 to June 2016. The lesion was located in the head of penis in 4 cases and in the body of penis in 6 cases. All patients received treatments with percutaneous copper wires. Perioperative data was analyzed. All possible complications were noted and cosmetic result was evaluated. Patients were followed up after discharge from the hospital. Results All the operations were successful and no obvious complications were observed. The patients were satisfied with the aesthetic outcomes. Follow-up time ranged from 1 to 5 years. Recurrence was discovered in a patient with the largest lesion of corpus penis 2 months after the treatment. Secondary procedure was carried out for this patient with the same technique and no lesions were found later. Conclusion Copper wire therapy was a simple, safe and useful option for penile cavernous hemangioma.

Key words: Cavernous hemangioma, Copper wire, Penis, Cosmetic treatment

中图分类号: 

  • R699.8
[1] Norouzi BB, Shanberg AM. Laser treatment of large cavernous hemangiomas of the penis[J]. J Urol, 1998, 160(1): 60-62.
[2] Cheng G, Song N, Hua L, et al. Surgical treatment of hemangioma on the dorsum of the penis[J]. J Androl, 2012, 33(5): 921-926.
[3] 董依云, 周国瑜, 沈玲悦, 等. 口服糖皮质激素联合长脉宽1064nm Nd:YAG激光治疗婴幼儿颌面部溃疡型血管瘤3年临床观察[J]. 中国口腔颌面外科杂志, 2015, 13(1): 48-53. DONG Yiyun, ZHOU Guoyu, SHEN Lingyue, et al. Three-year clinical observation of oral corticosteroids combined with long pulsed 1064 nm Nd: YAG laser in the treatment of ulcerated infantile hemangioma[J]. China Journal of Oral and Maxillofacial Surgery, 2015, 13(1): 48-53.
[4] 郑家伟, 张凌. 婴幼儿血管瘤治疗理念与方法的转变[J]. 中华口腔医学研究杂志(电子版), 2015, 9(2): 91-94. ZHENG Jiawei, ZHANG Ling. Shift of treatment algorithm and methods for infantile hemangiomas[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2015, 9(2): 91-94.
[5] Senoh H, Ichikawa Y, Okuyama A, et al. Cavernous hemangioma of scrotum and penile shaft[J]. Urol Int, 1986, 41(4): 309-311.
[6] Savoca G, De Stefani S, Buttazzi L, et al. Sclerotherapy of hemangioma of the glans penis[J]. Urology, 2000, 56(1): 153.
[7] Aydur E, Erol B, Tahmaz L, et al. Coagulation of a giant hemangioma in glans penis with holmium laser[J]. Asian J Androl, 2008, 10(5): 819-821.
[8] Ulker V, Esen T. Hemangioma of the glans penis treated with Nd:YAG laser[J]. Int Urol Nephrol, 2005, 37(1): 95-96.
[9] 徐荣建, 王法刚, 党伟, 等. 激光治疗对婴幼儿皮肤血管瘤患者血浆VEGF及bFGF表达的影响[J]. 山东大学学报(医学版), 2013, 51(4): 96-99. XU Rongjian, WANG Fagang, DANG Wei, et al. Influences of laser treatment on the expressions of the plasma vascular endothelial growth factor and basic fibroblast growth factor in children cutaneous hemangioma[J]. Journal of Shandong University(Health Science), 2013, 51(4): 96-99.
[10] Hemal AK, Aron M, Wadhwa SN. Intralesional sclerotherapy in the management of hemangiomas of the glans penis[J]. J Urol, 1998, 159(2): 415-417.
[11] Kumar A, Goyal NK, Trivedi S, et al. Primary cavernous hemangioma of the glans penis:rare case report with a review of the literature[J]. Aesthetic Plast Surg, 2008, 32(2): 386-388.
[12] Mullan S, Beckman F, Vailati G, et al. An experimental approach to the problem of cerebral aneurysm[J]. J Neurosurg, 1964, 21(10): 838-845.
[13] Hosobuchi Y. Electrothrombosis of carotid-cavernous fistula[J]. J Neurosurg, 1975, 42(1): 76-85.
[14] Nishijima M, Kamiyama K, Oka N, et al. Electrothrombosis of spontaneous carotid-cavernous fistula by copper needle insertion[J]. Neurosurgery, 1984, 14(4): 400-405.
[15] Dado DV, Stalnecker MC, Kernahan DA. Experience with electrothrombosis in the treatment of angiomas[J]. Ann Plast Surg, 1987, 18(1): 12-16.
[16] Li ZP. Therapeutic coagulation induced in cavernous hemangioma by use of percutaneous copper needles[J]. Plast Reconstr Surg, 1992, 89(4): 613-622.
[17] 付时章, 殷国前, 陈石海, 等. 铜针留置干预后血管瘤及血管畸形内皮细胞凋亡和组织病理学特点[J]. 中国临床康复, 2006, 10(27): 91-93. FU Shizhang, YIN Guoqian, CHEN Shihai, et al. Endothelial cell apoptosis and histopathological characteristics in hemangioma and vascular malformation after intervention of indwelling copper needles[J]. Chinese Journal of Clinical Rehabilitation, 2006, 10(27): 91-93.
[18] Yin G, Zhang J, Zheng C, et al. Experimental and clinical research on treat-ment of vascular malformations with retained copper needles[J]. Ann Plast Surg, 2008, 60(2): 204-208.
[19] 梁杰, 吴泽勇. 海绵状血管瘤铜针埋置术后的病理分析[J]. 中国实用医药, 2010, 5(15): 74-75. LIANG Jie, WU Zeyong. Pathological analysis on postoperative effects of copper needles embedded in cavernous hemangioma[J]. China Practical Medical, 2010, 5(15): 74-75.
[20] 王延伟, 赵骥, 牛志宏, 等. 阴茎龟头海绵状血管瘤的治疗新技术探讨(附5例报告)[J]. 中国综合临床, 2001, 17(5): 374.
[21] 李比, 朱力, 夏有辰, 等. 铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤[J]. 中国微创外科杂志, 2001, 5(3): 236-238. LI Bi, ZHU Li, XIA Youchen, et al. Treatment of huge subcutaneous cavernous hemangioma using copper needles[J]. Chinese Journal of Minimally Invasive Surgery, 2001, 5(3): 236-238.
[22] Erol OO, Uysal OA, Agaoglu G. Percutaneous electrothrombosis:a minimally invasive technique for the treatment of deep hemangiomas[J]. Aesthetic Plast Surg, 2010, 34(2): 214-217.
[23] 许和平, 肖耀明, 周艳贞. 铜针通电治疗血管瘤并发急性溶血的临床与实验研究[J]. 中华整形外科杂志, 2001, 17(1): 37-39. XU Heping, XIAO Yaoming, ZHOU Yanzhen. Clinical observation and experimental study of acute hemolysis following copper needle electrothrombosis for treating hemangioma[J]. Chinese Journal of Plastic Surgery, 2001, 17(1): 37-39.
[24] 付时章, 殷国前, 王斌, 等. 铜针留置治疗血管瘤的安全性分析[J]. 中国组织工程研究与临床康复, 2006, 12(6): 1127-1129. FU Shizhang, YIN Guoqian, WANG Bin, et al. Safety of copper needle retainment in treating hemangioma[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2006, 12(6): 1127-1129.
[25] 付时章, 雷海燕, 殷国前. 铜针治疗血管瘤的临床应用及毒性研究进展[J]. 实用临床医学, 2005, 6(12): 194-196.
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