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[勃起功能障碍。基础检查程序的治疗后果]

[Erective dysfunction. Therapeutic consequences of a basal program of investigation].

作者信息

Eldrup J, Hansen B J, Hansen H J, Waadegaard P, Andersen J T

出版信息

Ugeskr Laeger. 1989 Jul 17;151(29):1876-8.

PMID:2773101
Abstract

During a period of nine months, 50 men aged 21-75 years were investigated on account of erective dysfunction by means of a simple outpatient programme of investigation. Five patients could be discharged after the primary contact with history-taking and information about further investigation and treatment. Forty-five patients were submitted to the programme of investigation which consisted of measurement of penile blood pressure, Doppler investigation of the penile arteries and the papaverine test. After this, ten patients (20%) could be referred for sexological advice while five were discharged as they did not desire further treatment. Sixteen patients (32%) were taught self injection. Out of the six patients (12%) in whom arterial insufficiency was demonstrated, penile prostheses were introduced operatively in four. Venous leakage from the corpus cavernosum was demonstrated in seven patients (14%) by means of cavernosometry and cavernosography. Venous ligature was performed in five with good effect in two. Thus, specific treatment could be offered to 35 men (70%) with satisfactory therapeutic results in 22 (44%).

摘要

在九个月的时间里,对50名年龄在21至75岁之间因勃起功能障碍的男性进行了调查,采用了一个简单的门诊调查方案。五名患者在初次接触并进行病史采集以及了解进一步的检查和治疗信息后即可出院。45名患者接受了调查方案,该方案包括阴茎血压测量、阴茎动脉的多普勒检查和罂粟碱试验。在此之后,10名患者(20%)被转介接受性学咨询,而5名患者因不希望进一步治疗而出院。16名患者(32%)学会了自我注射。在6名(12%)被证实存在动脉供血不足的患者中,4名接受了阴茎假体手术植入。通过海绵体测压和海绵体造影,7名患者(14%)被证实存在海绵体静脉漏。5名患者进行了静脉结扎,其中2名效果良好。因此,可为35名男性(70%)提供特异性治疗,22名(44%)获得了满意的治疗效果。

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