低强度体外冲击波/脉冲式超声波治疗勃起功能障碍中国专家共识

Chinese expert consensus on low-intensity extracorporeal shock wave/low-intensity pulsed ultrasound in the treatment of erectile dysfunction

勃起功能障碍(ED)是成年男性的常见病和多发病,目前国内外ED诊疗指南推荐的口服药物、阴茎海绵体内血管活性药物注射和阴茎假体植入等治疗方案均不能针对ED病因,故无法从纠正发病机制方面彻底治愈ED。低强度体外冲击波疗法(Li-ESWT)和低强度脉冲式超声波(LIPUS)治疗ED,因其独特的作用机制和生物学效应,不仅能够改善患者的勃起功能,亦能针对病因治疗,促进阴茎功能康复。然而,目前临床上存在Li-ESWT和LIPUS治疗ED适应证不明确、治疗方案不统一、疗效差异大等问题,限制了该类疗法的进一步应用。据此,中国性学会组织本领域内多位临床专家,根据现有的Li-ESWT和LIPUS治疗ED的国内外循证医学证据,经共同研究、讨论达成一致,制定了本共识,旨在为从事Li-ESWT及LIPUS治疗ED领域的临床医生、设备研发人员提供规范的治疗方法和参考。

Erectile dysfunction(ED)is a common and frequently occurring disease in adult males.At present,oral medication,intracavernosal injection and penile prosthesis implantation recommended by domestic and foreign ED diagnosis and treatment guidelines do not target the etiology of ED,so they cannot completely cure ED from the perspective of correcting the pathogenesis.The use of low-intensity extracorporeal shock wave therapy(Li-ESWT)and low-intensity pulsed ultrasound(LIPUS)can not only improve the erectile function of patients due to their unique mechanisms of action and biological effects,but also promote penile rehabilitation by targeting the etiology.However,there are some problems in the present clinical practice in using Li-ESWT and LIPUS,such as unclear indications,inconsistent treatment protocols,and variations in efficacy,which limited the further applications of those therapies.Accordingly,the China Sexology Association(CSA)organized a panel of clinical experts in this field to reach a consensus through joint research and discussion,based on the existing domestic and foreign evidence-based medical evidence of Li-ESWT and LIPUS in the treatment of ED.The primary objective is to provide standardized treatment methods and references for clinicians and device developers engaged Li-ESWT and LIPUS technologies for ED treatment.