Bonnin C, Bouilly P
Cabinet médical Cheverny Santé, 16 avenue de la Poste, Cergy-Pontoise, France.
J Mal Vasc. 2011 Feb;36(1):33-40. doi: 10.1016/j.jmv.2010.11.001. Epub 2010 Dec 21.
Erectile dysfunction (ED) is a common multifactorial disease, in most situations arising from an organic or mixed cause. Most cases of ED classified as arterial are linked to endothelial dysfunction in relation to the key factors of cardiovascular risk. ED is an indicator of vascular health in general. It is also a predictor of cardiovascular events, including coronary heart disease. It has also been associated with lower peripheral arterial disease and stroke. At the present time, penile Doppler ultrasound examination is relatively little used in the management of ED, knowledge of the etiologic factors being most often not necessary for therapeutic management, but also because of the absence of standardization. Nonetheless, recent large-scale studies have shown that the vascular nature of ED, based on Doppler parameters recorded after intracavernous injection of vasoactive drugs, was also predictive of cardiovascular events and cardiovascular mortality, warranting greater interest in this test.
勃起功能障碍（ED）是一种常见的多因素疾病，在大多数情况下由器质性或混合性病因引起。大多数归类为动脉性的ED病例与心血管风险的关键因素导致的内皮功能障碍有关。总体而言，ED是血管健康的一个指标。它也是心血管事件（包括冠心病）的一个预测指标。它还与外周动脉疾病和中风发生率较低有关。目前，阴茎多普勒超声检查在ED的管理中使用相对较少，这不仅是因为治疗管理通常不需要了解病因，还因为缺乏标准化。尽管如此，最近的大规模研究表明，基于海绵体内注射血管活性药物后记录的多普勒参数，ED的血管性质也可预测心血管事件和心血管死亡率，这使得对该检查的关注度更高。
