勃起功能障碍诊断方法探讨

Diagnostic approaches of penile erectile dysfunctions

目的:探讨ED的诊断方法。方法:对365例11个民族拟诊为血管性ED的患者分别采用阴茎海绵体注射试验、阴茎-肱动脉血压指数测定、阴茎彩色双功能超声、阴茎海绵体造影、阴茎数字减影血管造影及阴茎动、静脉血池显像等检查。结果:有365、204、168、228、142、136例患者分别接受了上述6种检查。诊断动脉性ED82例,静脉性ED132例,混合性ED57例,原因不明ED94例。不同民族间差异无统计学意义(P>0.05)。结论:ED是高度个性化疾病,针对ED患者不同情况采取相应的诊断方法有利于选择高效、经济、安全的治疗方法。

Objective：To discuss the diagnostic approaches of erectile dysfunction（ED）,and to improve the diagnostic level of ED. Methods：Totally 365 patients include 11 different ethnic groups with vascular erectile dysfunction were evaluated by intracavernous injection（ICI）, penile brachial index , duplex color doppler ultrasonography , pharmacocavernosography, digital subtraction angiography and SPECT. Results： Among these ED patiens who were evaluated, 365,204,168,228,142 and 136 cases underwent the above-mentioned examinations, and 82 patients were diagnosed as having artery ED, 132 having venous ED, 57 having admixt ure ED and 94 unknown-cause ED. There is no significant difference between different ethnic groups（P〉0.05）. Conclusions： Erectile dysfunction is a highly individualized disease. Diagnostic approaches of erectile dysfunction should be individual patient specific, which can be safe,economical and efficacious to the ED patients.