| 骨盆骨折并后尿道损伤致阴茎勃起功能障碍28例临床分析 |
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| 引用本文： | 闵立贵,马合苏提,蒲春林.骨盆骨折并后尿道损伤致阴茎勃起功能障碍28例临床分析[J].现代泌尿外科杂志,2008,13(6):443-445. |
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| 作者姓名： | 闵立贵 马合苏提 蒲春林 |
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| 作者单位： | 新疆自治区人民医院泌尿男科,新疆乌鲁木齐,830001 |
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| 摘 要： | 目的探讨骨盆骨折并后尿道损伤致阴茎勃起功能障碍（ED）的类型、发病机制和治疗方法。方法通过病史、查体、实验室检查，国际勃起功能指数，NPT、罂粟碱试验、阴茎Doppler声、动态阴茎海绵体造影、球海绵体肌反射和尿动力学检查等方法，对骨盆骨折并后尿道损伤引起的阴茎勃起功能障碍28例患者进行诊断、分类，对不同类型的ED患者进行相应治疗。站果ED28例，其中神经血管性ED22例，血管性ED6例。22例神经血管性ED化学假体治疗，22例注药后阴茎勃起完成性交。其中5例治疗半年后阴茎勃起功能逐渐恢复；17例未能坚持治疗，12例改服万艾克，5例服药后完成性交。4例血管性ED行腹壁下动脉与阴茎背深静脉吻合术，术后能完成性交。结论ED是骨盆骨折并后尿道损伤的常见并发症。神经血管损伤是ED的主要原因，化学假体和口服万艾克有一定疗效。血管性ED手术治疗有一定疗效。
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| 关 键 词： | 骨盆骨折 后尿道损伤 阴茎勃起功能障碍 诊断 治疗 |
Clinical analysis of 28 cases of erectile dysfunction caused by the posterior urethral injury complicated with pelvic fracture |
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| Min Ligui,Mahe Suti,Pu Chunlin.Clinical analysis of 28 cases of erectile dysfunction caused by the posterior urethral injury complicated with pelvic fracture[J].Journal of MOdern Urology,2008,13(6):443-445. |
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| Authors: | Min Ligui Mahe Suti Pu Chunlin |
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| Institution: | Min Ligui,Mahe Suti,Pu Chunlin(Department of Urology , ,ropathy,the People\'s Hospital of Xinjiang Autonomous Region,Urumuqi 830001,China) |
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| Abstract: | Objective To evaluate the type,pathogenesis and therapy of erectile dysfunction(ED) caused by the posterior urethral injury complicated with pelvic fracture.Methods In 28 patients of ED caused by the posterior urethral injury complicated with pelvic fracture,diagnosis and classification were carried out by means of detail history,physical examination,laboratory examination,international index of erectile function,night penile test,papaverine test,penis Doppler ultersound,dynamicavernorography,bulbocavernosu... |
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| Keywords: | pelvic fracture posterior urethral injury erectile dysfunction |
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