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目的:探讨阴茎勃起功能障碍(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(ICI)试验、阴茎-肱动脉血压指数(PBI)测定、阴茎彩色双功能超声(DU)、阴茎海绵体造影(PCG)、阴茎数字减影血管造影(DSA)及核素显像技术等检查。结果:分别有365、204、168、228、142、136例患者接受了上述6种检查。诊断动脉性ED 82例,静脉性ED 132例,混合性ED 57例,原因不明ED 94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患者不同情况选择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 investigate the diagnosis of erectile dysfunction (ED). Methods: A total of 365 patients with 11 ethnic groups diagnosed as vascular ED were enrolled in this study. The ICI test, PBI test, penile color duplex function (DU), penis cavernous Imaging (PCG), penile digital subtraction angiography (DSA) and radionuclide imaging and other tests. Results: There were 365, 204, 168, 228, 142 and 136 patients received the above six kinds of examination. 82 cases of arterial ED, 132 cases of venous ED, 57 cases of mixed ED, 94 cases of unexplained ED. There was no significant difference among different ethnic groups (P> 0.05). Conclusion: ED is a highly individualized disease. Choosing the appropriate diagnostic method for different conditions of ED patients is conducive to the selection of efficient, economical and safe treatment.