780例海绵体内注射在排除血管性阳萎的应用体会

780 Cases of Intracavenous Injection for Excluding Vasculargenic Erectile Dysfunction

对780例阳萎患者进行了阴茎海绵体注射以排除血管性阳萎。97％的非血管性阳萎患者在应用罂粟碱30mg加酚妥拉明1mg后可获充分勃起,还有1.7％在罂粟碱加至60mg时可充分勃起。而对罂粟碱注射反应不佳的行PGE_1 20～25μg注射后有1.1％可充分勃起,加至50μg时又有0.2％获得勃起,提示不应以某种单一剂量或药物来排除血管性阳萎。应用罂粟碱的患者6.7％出现异常勃起,而应用PGE_1的42.1％出现阴茎疼痛,讨论了上述并发症的原因,解决对策。

780 cases with erectile dysfunction (ED) were undergone ICI to exclude vasculogenic ED. 97 percent of patients with nonvasculogenic ED got full erection after ICI of paperverine 30 mg plusing Regitne lmg, and so did another 1. 7 percent after adding paperverine to 60 mg. The other non-va.sculogenic ED patients, not responding to Paperverine, were given ICI of PGE1 25ug, or 50ug if not respoded well to 25g. A-gain there were 1. 1 percent and 0. 2 percent obtained full erection respectively. These indicated that ICI of one dosage or one sort of drugs is not reliable in excluding vasculogenic ED. Persistent erection occured in 6. 7 percent of patients with ICI of Paperverine, while local pain occured in 42.1 percent of patients with ICI of PGE1.