勃起功能障碍诊断方法探讨

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。

Diagnostic approaches of penile erectile dysfunctions

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 admixture 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.