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阴茎动脉多普勒超声技术与选择性动脉造影相关性的诊断准确性

Diagnostic accuracy of Doppler ultrasound technique of the penile arteries in correlation to selective arteriography.

作者信息

Gall H, Bähren W, Scherb W, Stief C, Thon W

机构信息

Department of Dermatology, Federal Army Hospital, Ulm, FRG.

出版信息

Cardiovasc Intervent Radiol. 1988 Aug;11(4):225-31. doi: 10.1007/BF02577007.

DOI:10.1007/BF02577007
PMID:2975965
Abstract

In 63% of 265 patients with erectile dysfunction a relevant arterial inflow disturbance was found by Doppler ultrasound examination. Correlation between Doppler and arteriography in 58 patients showed an accuracy of 95% in detecting penile arteries and an accuracy of 91% in discovering a pathological arterial pattern (arterial anomaly or arteriosclerotic obstruction). In 15 patients the arterial inflow was measured additionally by Doppler ultrasound technique after intracavernosal injection of vasoactive drugs (IIVD) (7.5 mg papaverine and 0.25 mg phentolamine). This technique proved to be more reliable than in the flaccid state and markedly facilitated localization and assessment of pathological changes of the cavernosal arteries.

摘要

在265例勃起功能障碍患者中,63%经多普勒超声检查发现存在相关动脉血流紊乱。58例患者的多普勒检查与动脉造影结果的相关性显示,检测阴茎动脉的准确率为95%,发现病理性动脉模式(动脉异常或动脉硬化性阻塞)的准确率为91%。15例患者在海绵体内注射血管活性药物(7.5mg罂粟碱和0.25mg酚妥拉明)后,采用多普勒超声技术额外测量了动脉血流。该技术被证明比阴茎疲软状态下更可靠,且显著便于海绵体动脉病变的定位和评估。

相似文献

1
Diagnostic accuracy of Doppler ultrasound technique of the penile arteries in correlation to selective arteriography.阴茎动脉多普勒超声技术与选择性动脉造影相关性的诊断准确性
Cardiovasc Intervent Radiol. 1988 Aug;11(4):225-31. doi: 10.1007/BF02577007.
2
Arterial anatomy and arteriographic diagnosis of arteriogenic impotence.
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Clinical and duplex US assessment of effects of sildenafil on cavernosal arteries of the penis: comparison with intracavernosal injection of vasoactive agents--initial experience.西地那非对阴茎海绵体动脉影响的临床及双功超声评估:与海绵体内注射血管活性药物的比较——初步经验
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[Comparison of papaverine-induced Doppler sonography and angiography in the diagnosis of erectile dysfunction].
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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
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本文引用的文献

1
The multidisciplinary approach to vasculogenic impotence.血管性阳痿的多学科治疗方法。
Surgery. 1981 Jan;89(1):124-33.
2
Importance of penile arterial pulse sound examination in impotence.阴茎动脉搏动音检查在阳痿中的重要性。
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Diagnosis and therapy of vasculogenic impotence.血管性阳痿的诊断与治疗
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4
Penile flow index utilizing a Doppler pulse wave analysis to identify penile vascular insufficiency.利用多普勒脉搏波分析来识别阴茎血管功能不全的阴茎血流指数。
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Comprehensive laboratory evaluation of impotent men.对阳痿男性进行全面的实验室评估。
J Urol. 1980 Aug;124(2):201-4. doi: 10.1016/s0022-5347(17)55372-0.
6
"Penile blood pressure"--a clarification.“阴茎血压”——一项澄清。
Urology. 1980 Jan;15(1):47-8. doi: 10.1016/0090-4295(80)90539-7.
7
Penile blood pressure.阴茎血压
Scand J Urol Nephrol. 1981;15(3):161-4. doi: 10.3109/00365598109179595.
8
Intracavernous injection of papaverine as a diagnostic and therapeutic method in erectile failure.
Angiology. 1984 Feb;35(2):79-87. doi: 10.1177/000331978403500203.
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[Arteriographic diagnosis of erectile impotence].[勃起功能障碍的动脉造影诊断]
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Vasculogenic impotence evaluated by high-resolution ultrasonography and pulsed Doppler spectrum analysis.
Radiology. 1985 Jun;155(3):777-81. doi: 10.1148/radiology.155.3.3890009.