Mueller S C, von Wallenberg-Pachaly H, Voges G E, Schild H H
Department of Urology, Mainz Medical School, Johannes Gutenberg University, Federal Republic of Germany.
J Urol. 1990 May;143(5):928-32. doi: 10.1016/s0022-5347(17)40140-6.
Between July 1987 and February 1988 selective internal iliac angiography was performed before and after intracavernous injection of papaverine plus phentolamine in 43 patients with erectile dysfunction. In 63% of the patients stenosis or occlusion of the pudendal artery was found. The penile brachial index was calculated and duplex sonography with pulsed Doppler analysis was performed in 23 patients. Angiography and penile brachial index correlated in only 39% of the patients, whereas selective internal iliac angiography and duplex sonography correlated in 91% (21 of 23). In 2 patients duplex sonography with pulsed Doppler analysis rendered better information about penile arterial perfusion than did angiography.
1987年7月至1988年2月期间，对43例勃起功能障碍患者在海绵体内注射罂粟碱加酚妥拉明前后进行了选择性髂内动脉造影。63%的患者发现阴部动脉狭窄或闭塞。计算了阴茎肱动脉指数，并对23例患者进行了脉冲多普勒分析的双功超声检查。血管造影和阴茎肱动脉指数仅在39%的患者中相关，而选择性髂内动脉造影和双功超声检查在91%（23例中的21例）的患者中相关。在2例患者中，脉冲多普勒分析的双功超声检查提供了比血管造影更好的阴茎动脉灌注信息。
