ED患者诊断方法与临床研究

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。

Dignostic approaches of penile erectile dysfunctions

Objective: To discuss the diagnostic approaches of erectile dysfunction(ED),and to improve the diagnostic level of ED.Methods: Three hundred and sixty-five patients include 11 nations with vascular erectile dysfunction were evaluated by intracavernous injection(ICI),penile brachial index(PBI),duplex color doppler ultrasonography(DU),pharmacocavernosography(PCG),digital subtraction angiography(DSA) and radioisotope penogram.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 artery ED,132 as venous ED,57 as admixture ED and 94 unknown-cause ED.There was not significant difference between nations(P>0.05).Conclusion: Erectile dysfunction is a highly individualized disease.Diagnostic approaches of erectile dysfunction should be chosen for individual patient properly,which can be safe,economical and efficacious to the ED patients.