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最近作者治疗2例间歇性跛行同时发生阴茎勃起的患者。从闭塞性动脉硬化症(ASO)在下肢运动时骨盆血流动力学的观点出发,是一饶有兴趣的症状,故就其发病机制作如下探讨: 例1.男性,62岁。六年前开始,走100米时右下肢间歇性跛行,同时出现阴茎勃起,停步后,阴茎勃起及下肢疼痛同时消失。除诊断为高血压(收缩压170mmHg)外无并发症。双下肢动脉造影:右髂外动脉的75%有狭窄,两髂内动脉大致正常。对病变在局麻下从右股动脉用Gruntzig型气囊导管行“透照气囊血管成形术”,狭窄完全解除。术后间歇性跛行及阴茎勃起完全消失。
The authors recently treated 2 patients with intermittent claudication and penile erection. It is interesting to note that occlusive arteriosclerosis (ASO) is an interesting symptom of pelvic hemodynamics during lower extremity exercise and therefore its pathogenesis is as follows: Example 1. Male, 62 years old. Six years ago, walking on the right lower extremity intermittent claudication 100 meters, while penile erection, stop, penile erection and lower extremity pain disappear at the same time. In addition to the diagnosis of hypertension (systolic blood pressure 170mmHg) no complications. Lower extremity arteriography: 75% of the right external iliac artery has a stenosis, and both internal iliac arteries are approximately normal. The lesion under local anesthesia from the right femoral artery with Gruntzig balloon catheter line “transillumination balloon angioplasty”, the stenosis completely lifted. Postoperative intermittent claudication and penile erection completely disappeared.