彩色多普勒超声联合前列地尔注射评价阴茎勃起功能障碍的临床应用  

Clinical application of color doppler ultrasound combined with Alprostadil injection in the diagnosis of penile erectile dysfunction

作　　者：孙友胜 王鹏 经朝龙 张建勇 张辉 Sun Yousheng;Wang Peng;Jing Chaolong(The Traditional Chinese Medicine Hospital of Yangzhou City,Yangzhou,Jiang 225001)

机构地区：[1]扬州市中医院,江苏扬州225001

出　　处：《基层医学论坛》2023年第16期82-85,共4页The Medical Forum

摘　　要：目的 分析高频彩色多普勒超声联合前列地尔注射评价阴茎勃起功能障碍(ED)的临床价值。方法 对38例ED患者在注射前列地尔注射液1 mL前及注射后诱导勃起,应用高频彩色多普勒超声分别测量海绵体动脉内径、收缩期峰值流速(PSV)、舒张末期流速(EDV)、阻力指数(RI),并比较注药前后的变化。结果 注射药物后根据彩色多普勒血流动力学参数判断15例属于动脉型ED (39.5%),9例属于静脉型ED (23.6%),7例属于混合型ED(18.4%),7例属于非血管型ED(18.4%);动脉型ED海绵体动脉PSV小于30 cm/s,静脉型ED海绵体动脉EDV大于5 cm/s且R I<0.89。结论 高频彩色多普勒超声联合前列地尔注射可对ED患者海绵体动脉血流参数进行定量评价,用于诊断与鉴别诊断有重要价值。Objectives To evaluate the clinical value of high frequency color Doppler ultrasound combined with alprostadil injection in the diagnosis of penile erectile dysfunction.Methods The diameter of cavernous artery,peak systolic velocity(PSV),end diastolic velocity(EDV)and resistance index(RI)before and after alprostadil injection were measured by high frequency color Doppler ultrasound in 38 patients with ED.ResultsAccording to the hemodynamic parameters of CDFI after alprostadil injection,15 cases were classified as arterial ED(39.5%),9 as venous ED(23.6%),7 as mixed ED(18.4%),7 as non vascular ED(18.4%):PSV of arterial ED cavernous artery was less than 30cm/s,EDV of venous ED cavernous artery was more than 5cm/s and RI was less than 0.89.Conclusion High frequency color Doppler ultrasound combined with alprostadil injection can quantitatively evaluate the blood flow parameters of cavernous artery in ED patients,with great value in the diagnosis and differential diagnosis of ED patients.

关 键 词：阴茎勃起功能障碍 评估 彩色多普超声 前列地尔注射 

分 类 号：R445.1[医药卫生—影像医学与核医学]