阴茎勃起功能障碍治疗方法探讨

Therapeutic Choices of Penile Erectile Dysfunction

目的 :探讨阴茎勃起功能障碍 (ED)的治疗方法 ,提高该病的治疗水平。 方法 :对 2 2 7例ED病人分别采取心理治疗 (31例 )、雄激素补充 (30例 )、万艾可口服 (12 1例 )、心理治疗 +万艾可口服 (16例 )、比法尔尿道滴注 (8例 )和海绵体血管活性药物注射 (2 1例 )等治疗。 结果 :治疗后 ,14 2例 (6 2 .6 % )病人勃起功能改善。其中心理治疗 12例 (38 7% ) ,雄激素补充治疗 9例 (30 0 % ) ,万艾可治疗 91例 (75 2 % ) ,心理治疗 +万艾可 13例 (81 3% ) ,比法尔 2例 (2 5 0 % ) ,海绵体注射治疗 15例 (71 4 % )。 结论 :ED是一个高度个性化的疾病 ,针对不同病人情况采取相应的治疗方法 ,有利于其接受高效、经济。

Objectives: To discuss the therapeutic choices of erectile dysfunction (ED) and to improve the therapeutic efficacy for different ED cases. Methods: Two hundred and twenty seven patients with ED were treated repectively with psychological treatment(31 cases), oral testosterone(30 cases), Viagra(121 cases), psychological treatment+Viagra(16 cases), intraurethral PGE1(8 cases) and intracavemous injection(21 cases). Results: Among those ED patients, 142 (62.6%) cases reported improved erections after they had undergone above mentioned therapies. The improved patients include 12 cases(38 7%) with psychological treatment, 9 cases (30.0%) with oral testosterone, 91 cases (75.2%) with Viagra, 13 cases (81.3%) with psychological and Viagar,2 cases ( 25.0 %) with intraurethral PGE1 and 21 cases (71.4%) with intracavemous injection. Conclusions: ED is a highly individualized disease, therapeutic choices of ED based on patient's situation can benefit those patients.