青壮年男性勃起功能障碍病因分析及个性化治疗(附110例报告)  

Etiology and Individualized Treatment of Erectile Dysfunction in Young Adult Men: a Report of 110 Cases

作　　者：张滨[1] 肖恒军[2] 臧志军[1] 邓小华[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]中山大学附属第三医院泌尿外科,广东广州510630 [3]梅州市嘉应学院医学院外科,广东梅州514031

出　　处：《中华男科学杂志》2006年第11期985-987,共3页National Journal of Andrology

基　　金：广东省医学科研基金(A2003228)

摘　　要：目的：分析青壮年男性勃起功能障碍（ED）病因，总结个性化治疗的效果。方法：主诉ED的青壮年患者110例，年龄22～39岁，平均28岁，病程6～48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ED42例（38．2％）；器质性ED36例（32．7％）；混合性ED32例（29．1％）。110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102例接受不同方法的个性化治疗，平均总有效率为88．2％。结论：明确青壮年男性ED的病因诊断，采用个性化治疗方法，可提高整体疗效。Objective： To investigate the etiology and individualized treatment of erectile dysfunction （ED） in young adult men. Methods： Included in the investigation were 110 young adult men with ED, at the mean age of 28 （ranging from 22 to 39 ） and with the average disease course of 24 months （ ranging from 6 to 48 ）. The etiology of ED was determined for each patient by history inquiry, medical examination, laboratory investigation and erectile function test, and then individualized therapies were administered accordingly. Results： Of all the diagnosed cases of ED, 42 （38.2%） were psychogenic, 36 （32.7%） organic and 32 （29.1% ）of the mixed type. Four cases of schizophrenia were transferred elsewhere, 4 pelvic fracture induced cases gave up treatment, and the other 102 received individualized therapies, with the average effectiveness rate of 88.2%. Conclusion ： Determination of the etiology of ED and the corresponding individualized treatment is the linchpin for improving the therapeutic effect of ED in young adult men.

关 键 词：勃起功能障碍 个性化治疗 男性 青壮年 

分 类 号：R698.2[医药卫生—泌尿科学]