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阴茎海绵体注射血管活性药和海绵体造影检查在外伤性勃起功能障碍司法鉴定中的应用
引用本文:张银高,刘孝华,李昌学,梁骏. 阴茎海绵体注射血管活性药和海绵体造影检查在外伤性勃起功能障碍司法鉴定中的应用[J]. 湖北民族学院学报(医学版 ), 2005, 22(4): 17-18,21
作者姓名:张银高  刘孝华  李昌学  梁骏
作者单位:湖北民族学院医学院附属医院泌尿外科,湖北,恩施,445000;湖北民族学院医学院附属医院泌尿外科,湖北,恩施,445000;湖北民族学院医学院附属医院泌尿外科,湖北,恩施,445000;湖北民族学院医学院附属医院泌尿外科,湖北,恩施,445000
摘    要:目的探讨阴茎海绵体注射血管活性药和海绵体造影在外伤性阴茎勃起功能障碍的司法鉴定中的应用价值。方法对32例自诉外伤后发生勃起功能障碍进行阴茎海绵体注射血管活性药和海绵体造影,同时还进行了IIEF-5评分,性激素测定及阴茎夜间勃起试验。结果注射罂粟碱后,阴茎能勃起者28例,其中达到充分勃起者24例,4例注射后无反应,海绵体造影有4例显示静脉漏,IIEF-5评分平均6.8分。结论阴茎海绵体注射血管活性药和海绵体造影用于外伤性阴茎勃起功能障碍的司法鉴定是一种较为客观、公正的方法。

关 键 词:勃起功能障碍  外伤  阴茎海绵体  罂粟碱  鉴定
文章编号:1008-8164(2005)04-0017-02
收稿时间:2005-10-20
修稿时间:2005-10-20

Application of Intracavernous Vasoactive Medicine and Cavernosography Traumatic Erectile Dysfunction in Judical Authentication
ZHANG Yin - gao, LIU Xiao - hua, LI Chang - xue,et al.. Application of Intracavernous Vasoactive Medicine and Cavernosography Traumatic Erectile Dysfunction in Judical Authentication[J]. Journal of Hubei Institute For Nationalities(Medical Edition), 2005, 22(4): 17-18,21
Authors:ZHANG Yin - gao   LIU Xiao - hua   LI Chang - xue  et al.
Affiliation:Department of Urology,Affiliated Hospital of Hubei Institute for Nationalitis,Enshi 445000, China
Abstract:Objective To evaluate the role of intracavernous vasoactive medicine and cavernosography in traumatic erectile dysfunction in judical authentication. Methods Intracavernous vasoactive medicine and cavernosography was made in 32 cases with traumatic erectile dysfunction, meanwhile the IIEF -5, the level of sexual hormones and nocturnal penile tumescence were assessed. Results 28 of 32 cases could erect after intracavernous papaverine, especially 24 cases could achieve sufficient tumescence, only 4 cases had non -tumescence, 4 cases showed venous drainage through cavernosography. The average score of IIEF -5 was 6. 8. Conclusion Intracavernous vasoactive medicine and cavernosography is objective in judging traumatic erectile dysfunction in judical authentication.
Keywords:erectle dysfunction    trauma    corpus vernosum   papaverine   authentication
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