组织工程与重建外科杂志2023，Vol.19Issue(6)：535-540,6.DOI:10.3969/j.issn.1673-0364.2023.06.003
阴茎头静脉畸形:分型及其长脉宽1064nm激光治疗
Venous malformation of glans penis:Classification and long-pluse 1 064 nm Nd:YAG laser therapy
段琼 1胡丽 2林晓曦 2陈辉2
作者信息
- 1. 450003 河南省郑州市 河南中医药大学第五临床医学院/郑州人民医院
- 2. 200011 上海市 上海交通大学医学院附属第九人民医院
- 折叠
摘要
Abstract
Objective To propose a classification system for venous malformations of glans penis(GPVM)and evaluate the efficacy and safety of long-pulse 1 064 nm Nd:YAG(LP-Nd:YAG)laser therapy for GPVM.Methods Twenty-six patients with GPVM were included in this study.They were classified into three types according to involved area and erectile function:Solitary type(Type Ⅰ),extensive type(Type Ⅱ),and full glans penis type without(Type Ⅲa)or with(Type Ⅲb)erectile dysfunction.Twenty-five of them were treated by LP-Nd:YAG laser,and the outcomes were converted into a five grading scales.The major and minor complications were recorded after each session.Results Twenty-four patients completed LP-Nd:YAG laser treatment.Four patients(16.7%)achieved"excellent(clear rate 75%-90%)"results and 20 patients(83.3%)achieved"nearly cured(clear rate>90%)"after an average of 2.4±1.1 sessions(1-5 sessions)of treatment.All treated patients were followed up for 6-14 months[average(9.0±2.6)months],and no recurrence was observed.The minor complications included mucosa texture change(n=8),temporary hyperpigmentation(n=4),blister and thin scab(n=2),temporary fibrous nodules(n=2),temporary hypopigmentation(n=1),superficial scar(n=1),slight hypoesthesia(n=1).And the minor complications included tissue defect and local depression(n=1)and permanent fibrous nodules(n=2).Conclusion LP-Nd:YAG laser has rather high clearance rate of GPVM and major complications are rare.This classification system is valuable to predict outcomes and safety of laser therapy to a certain degree.Different type of GPVM is likely to be related to different complications.关键词
静脉畸形/阴茎头/长脉宽Nd:YAG激光Key words
Venous malformation/Glans penis/Long-pulse Nd:YAG laser分类
医药卫生引用本文复制引用
段琼,胡丽,林晓曦,陈辉..阴茎头静脉畸形:分型及其长脉宽1064nm激光治疗[J].组织工程与重建外科杂志,2023,19(6):535-540,6.
