630例阳萎的病因分析

An investigation of the causes of impotence in Chinese male adults (report of 630 cases)

目的探讨国人成年男性阳萎患者的病因。方法对６３０例阳萎病人进行了详细病史询问，进行夜间阴茎肿胀试验（ＮＰＴ），阴茎／肱动脉血压指数测定（ＰＢＩ），性激素测定，彩色多普勒检查及球海绵体肌反射潜伏时间测定等，进行综合分析。结果心理性阳萎者５０２例（７９７％），器质性阳萎者１２８例（２０３％）。器质性阳萎中，以血管性最多见，占７１９％（９２／１２８），其中动脉性８０例，静脉性１２例。另有内分泌异常引起者２０例，神经性６例，药源性５例，单纯老年性血睾酮低下引起者５例。结论国人心理性原因引起的阳萎多见，器质性阳萎发生率虽低，但绝对数字大，亦应引起重视。

Objective To investigate the causes of impotence in Chinese male adults. Methods In 630 impotent patients,23～65 years of age with an average of 43,detail history and physical examinations,nocturnal penile tumescence (NPT),penile brachial index (PBI),sex hormone levels,color Doppler ultrasonography and bulbocavernosus reflex latency time were carried out and the causes of impotence were probed into. Results 502 cases (79.68%) were psychological and the causative factors were listed.128 cases (20.32%) were physical,vascular being the cause in 92 of the 128 (71.87%).Besides,hormonal dysfunction was noted in 20,neurological in 6,pharmacogenic in 5 and low blood testosterone level in 5 elders. Conclusions Treatment depends on the cause and lifestyle of the patients.According to the above data,psychological causes seems to be much more in Chinese.Physical causes seems to be less but the absolute number of cases in China might be enormous and more attention should be paid.