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[阴茎动脉及其分支在勃起功能障碍中的血管造影。一种改良的血管造影技术及血管扩张剂的优化应用]

[Angiography of the a. pudenda and its branches in erectile dysfunction. A modified angiographic technic and optimized use of vasodilator substances].

作者信息

Bohndorf K, Sikora R, Sohn M, Adam G, Günther R W

机构信息

Klinik für Radiologische Diagnostik, RWTH Aachen.

出版信息

Rofo. 1991 Apr;154(4):364-9. doi: 10.1055/s-2008-1033151.

DOI:10.1055/s-2008-1033151
PMID:1850150
Abstract

A new simplified technique for evaluating the internal pudendal artery and the penile vessels is described using a new catheter configuration with a very short 90 degrees-angled tip. In 30 consecutive patients, a superselective catheterisation of the internal pudendal artery was achieved in 93%. To improve visualisation of the penile arteries, the selective intraarterial application of 0.2 mg nitroglycerin in addition to the mandatory intracavernous injection of papaverin or prostaglandin E1 has proved to be of value. Examination of the blood blow velocity in the dorsal penile artery with Doppler ultrasound 2 minutes after intra-arterial application of 0.2 mg nitroclyerin showed a mean elevation of the Doppler amplitude by the factor 2.4 (range 0.4-9). With regard to the maximal increase of the blood velocity (range 1-6 minutes), a high interindividual difference was observed.

摘要

描述了一种使用具有极短90度角尖端的新型导管配置来评估阴部内动脉和阴茎血管的简化新技术。在连续30例患者中,93%实现了阴部内动脉的超选择性插管。为了改善阴茎动脉的可视化,除了必须海绵体内注射罂粟碱或前列腺素E1外,选择性动脉内应用0.2mg硝酸甘油已被证明是有价值的。动脉内应用0.2mg硝酸甘油2分钟后,用多普勒超声检查阴茎背动脉的血流速度,结果显示多普勒振幅平均升高2.4倍(范围0.4 - 9)。关于血流速度的最大增加(范围1 - 6分钟),观察到个体间差异很大。

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1
[Angiography of the a. pudenda and its branches in erectile dysfunction. A modified angiographic technic and optimized use of vasodilator substances].[阴茎动脉及其分支在勃起功能障碍中的血管造影。一种改良的血管造影技术及血管扩张剂的优化应用]
Rofo. 1991 Apr;154(4):364-9. doi: 10.1055/s-2008-1033151.
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Pharmacoangiographic evidence of the presence and anatomical dominance of accessory pudendal artery(s).阴部副动脉存在及其解剖优势的药物血管造影证据。
J Urol. 2008 Jun;179(6):2317-20. doi: 10.1016/j.juro.2008.01.117. Epub 2008 Apr 18.
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Correlation of duplex sonography with arteriography in patients with erectile dysfunction.勃起功能障碍患者中双功超声与动脉造影的相关性
AJR Am J Roentgenol. 1993 Jan;160(1):71-3. doi: 10.2214/ajr.160.1.8416651.
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Impact of aging on penile hemodynamics in men responding normally to prostaglandin injection: a power Doppler study.衰老对正常响应前列腺素注射的男性阴茎血流动力学的影响:一项能量多普勒研究
Int J Urol. 2005 Aug;12(8):745-50. doi: 10.1111/j.1442-2042.2005.01124.x.
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[Comparison of papaverine-induced Doppler sonography and angiography in the diagnosis of erectile dysfunction].
Urologe A. 1988 Jan;27(1):8-13.
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[Duplex ultrasonography and internal pudendal arteriogram in the diagnosis of trauma-associated arteriogenic erectile dysfunction (a report of 7 cases)].[双功超声检查和阴部内动脉造影在创伤相关性动脉源性勃起功能障碍诊断中的应用(附7例报告)]
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Digital angiography of erectile failure.勃起功能障碍的数字血管造影
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[Selective arteriography of the internal pudendal artery in posttraumatic erectile dysfunction].
Rofo. 1985 Sep;143(3):334-41. doi: 10.1055/s-2008-1052819.
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[Duplex ultrasound of the penis. Value of a new diagnostic procedure based on over 1,000 patients].
Urologe A. 1993 May;32(3):242-9.
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[Clinical and ultrasonic validation for the intracavernous use of papaverin hydrochloride for the test screening of patients with arterial erectile impotence].[盐酸罂粟碱海绵体内注射用于动脉性勃起功能障碍患者检测筛查的临床及超声验证]
Grud Serdechnososudistaia Khir. 1993 May-Jun(3):27-9.