未婚男子勃起功能障碍的病因分析及个性化治疗  

Etiological analysis and individualized treatment of bachelor with erectile dysfunction

作　　者：张滨[1] 周少虎[2] 冯钜豪[3] 

机构地区：[1]中山大学附属第三医院不育与性医学科,广东广州510630 [2]广州中医药大学第一附属医院泌尿外科,广东广州510405 [3]江门市新会人民医院男科,广东江门529100

出　　处：《中国性科学》2006年第4期8-9,28,共3页Chinese Journal of Human Sexuality

摘　　要：目的：分析未婚男子勃起功能障碍（erectile dysfunction，ED）病因，总结个性化治疗的效果。方法：主诉ED的未婚患者115例，年龄17-32岁，平均26岁，病程2～48个月，平均24个月。通过病史调查、体格检查、实验室检查及勃起功能特殊检查，确定ED病因，并针对病因采用相应治疗方法。结果；诊断为心理性ED 44例（38．3％）；器质性ED 39例（33．9％）；混合性ED 32例（27．8％）。115例ED患者中4例被确诊为精神分裂症转诊，4例外伤性患者放弃ED治疗，其余107例接受不同方法的个性化治疗，其总有效率为88．8％。结论：明确未婚男子ED的病因诊断并且采用个性化治疗方法可提高整体疗效。Objective：To review the erectile dysfunction （ED） on bachelor including a brief overview, nosogenesis, treatment options, and outcomes. Methods： Basis of chief complaint all patients of 115 bachelor diagnosed with ED were reviewed, of them the mean age was 26 （range 17 - 32 ） , the mean course of disease was 24 months （range 2 - 48 ）. They had multdiseiplinary diagnostic approach by medical history, medication inspection and optional examinations of ED. Based on etiologies or types of 115 patients the clinical treatment methods were chosen. Results： Psychogenic ED was diagnosed in 44 （38.3%） of the patients, organic ED was diagnosed in 39 （33.9%） , mixed ED was diagnosed in 32 （ 27.8% ）. Among 115 patients, sehizophrenia was diagnosed in 4 patients who were transferred treatment, 4 patients induced by sequela of pelvic tracture forsaken treatment for ED, 107 patients have received relational therapies and the effective rate was 88.8%. Conclusions：The linchpin for improving cure rate of bachelor ED are necessary to diagnose the etiology and to choose the treatment based on each patient＇s individuality.

关 键 词：未婚男子 勃起功能障碍 个性化 

分 类 号：R698.1[医药卫生—泌尿科学] R587.1[医药卫生—外科学]