定量温度觉检测在神经性勃起功能障碍诊断中的应用  

Application of Quantitative Temperature Testing in Diagnosis of Neurogenic Erectile Dysfunction

作　　者：翁少峥[1,2] 王飞翔[2] 戴继灿[3] 朱广友[2] 

机构地区：[1]苏州大学医学部法医学系,江苏苏州215123 [2]司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海200063 [3]上海交通大学医学院附属仁济医院,上海200127

出　　处：《法医学杂志》2011年第4期253-255,共3页Journal of Forensic Medicine

摘　　要：目的探讨定量温度觉检测(quantitative temperature testing,QTT)技术在神经性勃起功能障碍(neu-rogenic erectile dysfunction,NED)的法医学鉴定以及临床诊断中的应用价值。方法使用TSA-Ⅱ型神经感觉分析仪,以极限法分别测量22例正常男性(对照组)及35例确诊NED患者(实验组)的阴茎头部背侧(dorsal glans,DG)、左股内侧(left thigh interior,LTI)及左手大鱼际(left thenar,LT)3个部位的冷觉、冷痛觉、热觉、热痛觉阈值,计算DG与LTI的相对感觉阈值以及DG与LT的相对感觉阈值,并对上述阈值和相对感觉阈值进行比较分析。结果实验组DG-热觉、DG-热痛觉、LTI-热觉、LTI-热痛觉、DG/LTI-热觉、DG/LT-热觉、DG/LT-热痛觉均明显高于对照组(P<0.05)。结论 DG温度觉阈值可以作为NED法医学鉴定和临床诊断的辅助指标。Objective To explore the application of quantitative temperature testing（QTY） in forensic iden- tification and clinical diagnosis of neurogenic erectile dysfunction （NED）. Methods TSA-H-NeuroSensory Analyzer was used to measure the thresholds of four kinds of sensory, including cold, cold pain, heat, heat pain, in 22 normal and 35 NED patients at dorsal glans （DG）, left thigh interior （LTI） and left thenar （LT）. To calculate the relative thresholds of the sensory mentioned above between DG and LTI（DG/LTI）, and between DG and LT （DG/LT）. Then to analyze those thresholds and the relative thresholds. Results NED group showed significant higher threshold than the normal group in DG-heat, DG-heat pain, LTI- heat, LTI-heat pain, DG/LTI-heat, DG/LT-heat, DG/LT-heat pain （P〈0.05）. Conclusion The threshold of QTY at dorsal glans could be used as an accessory indicator in forensic medicine and clinical diagnosis of NED.

关 键 词：法医学 温度觉 勃起功能障碍 

分 类 号：DF795.1[医药卫生—法医学]