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作 者:马忠宇[1] 徐曼莉[1] 张欣[1] 白雪峰[1]
机构地区:[1]牡丹江医学院第二附属医院功能科,黑龙江牡丹江157009
出 处:《中国性科学》2012年第9期3-4,14,共3页Chinese Journal of Human Sexuality
摘 要:目的:分析彩色多普勒超声诊断技术(CDU)检测、评估阳痿(ED)患者阴茎血流动力学(Penile hemodynam-ics:PHD)的超声表现,探讨影响此评估方法准确性的几个值得注意的客观因素。方法:选择179例ED患者经药物诱导勃起后行CDU检查海绵体动脉血流指标,包括收缩期最大流速(PSV)、动脉舒张末期血流速度(EDV)、阻力指数(RI)。结果:非血管性ED 123例(68.7%),动脉性ED 21例(11.7%),静脉性ED 35例(19.6%)。结论:CDU检测ED患者PHD状态,可为临床提供较为可靠的阴茎血管性病变依据。Objectives: To evaluate the value of color Doppler ultrasonogrphy in the tests of penile hemodynamic(PHD) in patients with erectile dysfunction, and to explore some influencing factors on the accurate diagnosis with the tests. Methods: A total of 179 cases of ED patients were treated with drug -induced erectile of penis, and then were evaluated with CDU tests in terms of eavemosal artery blood flow index, including peak systolic velocity (PSV) , end diastolic velocity (EDV) , and resistance index (RI). Result: CDU tests indicated 123 patients (68.7%) with non vasculogenie ED, twenty- one patients (11.7%) with arteriogenic ED, and thirty- five patients (19.6) with venous ED. Conclusion: Color Doppler ultrasonogrphy provides a reliable diagnosis for PHD in patients with erectile dysfunction. Penis angiography and eavemosum angiography are needed to determine the specific lesion and the corresponding surgery plan.
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