勃起功能障碍阴茎血流动力学研究  

Hemodynamometry of erectile dysfunction

作　　者：周文龙[1] 张祖豹[1] 孙福康[1] 刘定益[1] 李恩才[1] 沈鑫源[1] 

机构地区：[1]上海第二医科大学附属瑞金医院泌尿外科,200025

出　　处：《中华外科杂志》2003年第3期211-213,共3页Chinese Journal of Surgery

摘　　要：目的　探讨勃起功能障碍 (erectiledysfunction ,ED)的病因诊断。　方法　 130例ED患者通过阴茎海绵体内应用血管活性药物 ,进行阴茎海绵体血流动力学和海绵体造影检查。观察并记录阴茎 肱动脉血压指数 (penilebrachialindex ,PBI)、海绵体内压 (intracavernouspressure ,ICP)、维持灌流率 (maintenanceflowrate ,MFR) ,海绵体内压跌差 (pressurelosschange,PLC)等项指标及阴茎静脉血管形态。　结果　 130例ED中有 39例为静脉漏 ,其中 15例为动脉血供不足伴静脉漏。海绵体造影显示2 8例为单纯背深静脉漏 ,其余 11例为背深静脉复合阴茎脚静脉漏。　结论　阴茎血流动力学检测可作为ED病因诊断的有效方法。Objective To study the clinical causes of the erectile dysfunction(ED). Methods One hundred and thirty cases of ED were examined by hemonamometry and cavernosography with vasodilating agent. The data about penile brachial index, intracavernous pressure, maintenance flow rate,and pressure loss change were obtained and the status of the penile veins was detected. Results Among 130 patients with ED, 39 had venous leakage including penile arterial insufficiency simultaneous venous leakage in 15 patients. Various leakage sites were observed by using cavernosography. Twenty-eight patients showed deep dorsal veins only and the remaining crural veins. Conclusion Hemodynamometry is effective to diagnose the cause of ED.

关 键 词：勃起功能障碍 血流动力学 阴茎 海绵体静脉漏 罂粟碱 

分 类 号：R698[医药卫生—泌尿科学]