彩色多普勒超声和夜间生物电阻抗容积测定对阴茎勃起功能障碍诊断的比较  

Comparison Study on the Dagnosis of Erectile Dysfunction with Color Doppler Ultrasonography and Nocturnal Electrobioimpedance Volumetric Assessment

作　　者：李进兵[1] 黄道中[1] 饶可[2] 张青萍[1] 赵胜[1] 李银珍[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院超声影像科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院泌尿外科,湖北武汉430030

出　　处：《中华男科学杂志》2006年第3期243-246,共4页National Journal of Andrology

摘　　要：目的:探讨彩色多普勒超声(CDUS)和夜间生物电阻抗容积测定(NEVA)对勃起功能障碍(ED)诊断的相互关系及后者对ED病因的诊断价值。方法:应用CDUS及NEVA分别检测45例ED患者的阴茎勃起情况,基于CDUS检测结果将ED患者分为动、静脉性及非血管性3组,对NEVA各参数进行组间两两比较,并探讨两种检查方法之间的相互关系。结果:非血管性ED组NEVA结果正常达94.4%,而动、静脉性ED组NEVA结果异常分别为75.0%和72.7%。NEVA各参数3组间相互比较仅静脉性ED组的阴茎血容量改变明显低于非血管性ED组(P=0.033)。结论:NEVA结果正常与否和CDUS提示的动、静脉功能良好与否存在较好的一致性;NEVA在一定程度上可以反映阴茎血管功能状况,提示ED的病因。Objective： To study the diagnostic value of color Doppler ultrasonography（CDUS） and nocturnal electrobioimpedance volumetric assessment （NEVA） in the assessment of erectile dysfunction （ED） and in differentiating the causes of ED. Methods ： CDUS and NEVA were performed in the 45 patients with ED. The patients were classified into 3 groups according to their results of CDUS, and compared all parameters of NEVA between each two groups, and then studied the correlation between CDUS and NEVA in the as- sessment of ED. Results： In the non-vasculogenic ED group, 17 （94.4%） patients had normal nocturnal penile tumescence （NPT） ; and in contrast, there were 9（75.0% ） and 8（72.7% ） patients with abnormal NPT in the arteriogenic and venogenic ED groups, respectively. Except that the blood volume change of penis in the venogenic ED group was significantly lower than that in the non-vasculogenic ED group （ P = 0.033 ）, there were no significant difference in the other parameters of NEVA between each two groups. Conclusion ： The results of NEVA are well correlated with the functions of artery and venous which were indicated by CDUS. NEVA can indicate the causes of ED to some extent. Natl J Atutrol,2006,12 （3） ：243-246

关 键 词：超声检查 彩色多普勒 勃起功能障碍 夜间生物电阻抗容积测定 

分 类 号：R698[医药卫生—泌尿科学]