彩色多普勒超声联合阴茎海绵体注射和听觉视觉性刺激在勃起功能障碍诊断中的价值  

The value of color doppler ultrasoundjoint intracavernous injection and visual-auditory sexual stimulationin diagnosis of patients with erectile dysfunction

作　　者：朱策均 张月玲 谢淑慧 彭乃雄 

机构地区：[1]深圳市龙华新区中心医院超声科,广东深圳518110 [2]深圳市龙华新区中心医院泌尿外科,广东深圳518110

出　　处：《中国性科学》2016年第4期29-32,共4页Chinese Journal of Human Sexuality

基　　金：广东省深圳市龙华新区科技计划医疗卫生项目(1030052)

摘　　要：目的:评估彩色多普勒超声联合阴茎海绵体注射和听觉视觉性刺激在勃起功能障碍诊断中的临床应用价值。方法:对120例临床诊断为勃起功能障碍的患者进行阴茎海绵体内注射血管活性药物和辅助眼镜式影像仪给予听觉视觉性刺激,采用彩色多普勒超声测量阴茎海绵体动脉直径(CAD)、收缩期峰值流速(PSV)、舒张末期流速(EDV)、阻力指数(RI)、背深静脉(DDV)流速。结果:非血管性、动脉性和静脉性ED患者左右深动脉血流参数和注射前后阴茎海绵体动脉直径增大率差异无统计学意义(P>0.05);彩色多普勒超声联合阴茎海绵体注射和听觉视觉性刺激在诊断动脉性血勃起功能障碍敏感度与特异度均为100%,诊断静脉性血勃起功能障碍敏感度为100%,特异度为96%。结论:彩色多普勒超声联合阴茎海绵体注射和听觉视觉性刺激在诊断各类型血管性ED及区别非血管性ED中具有较高的临床价值,值得推广应用。Objectives：To investigate the value of color doppler ultrasound joint intracavernous injection and visual-auditory sexual stimulation in diagnosis of patients with erectile dysfunction （ED）.Methods：120 ED patients were injected with vasoactive drugs through the corpus cavernosum and given visual-auditory sexual stimulation.The cavernosum artery diameters （CAD）,peaks of the systolic velocity （PSV）,the end-diastolic veloeity （EDV）,resistant index （Rl） and flow rate of deep dorsal vein （DDV） were measured and compared before and after with color doppler ultrasounds.Results：Difference in left and right arterial blood flow parameters between all kinds of ED groups was not statistically significant,so as the increase in CAD after the treatment （P 〉0.05）.Both the sensitivity and specificity of color doppler ultrasound joint intracavernous injection and visual-auditory sexual stimulation in diagnosis of arterial ED patients was 100%,and the specificity decreased to 96% in the diagnosis of venous ED patients while the sensitivity remained 100%.Conclusion：Color doppler ultrasound after intracavernous injection and visual-auditory sexual stimulation has a great value for the diagnosis of various types of vaseular ED and discrimination of non-vaseular ED,which is worthy of clinical application.

关 键 词：彩色多普勒超声 血管性勃起功能障碍 阴茎海绵体内注射 听觉视觉性刺激 

分 类 号：R698.1[医药卫生—泌尿科学]