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[血管性勃起功能障碍的阴茎血运重建:豪里手术方法的临床结果]

[Revascularization of the penis in vascular-induced erectile dysfunction: clinical results of the Hauri surgical method].

作者信息

Zumbé J, Westerdorf G, Kierfeld G

机构信息

Abteilung für Urologie, Städtisches Krankenhaus Leverkusen.

出版信息

Urologe A. 1988 Nov;27(6):336-9.

PMID:3070900
Abstract

Hauri's modification of the procedure for operative penile revascularization has been known since 1983; it is characterized by an anastomosis between the inferior epigastric artery and the dorsal artery of the penis with an arteriovenous shunt with the deep dorsal vein of the penis. Since 1986 this surgical technique has been applied in 18 patients with vascular erectile dysfunction. Their average age was 47 years, and the mean observation period was 8 months. We did not consider the operation indicated unless the presence of pathologic vessels was demonstrated in the distal region of the internal pudendal artery by selective arteriography. After the operation, a 6-month therapy with platelet aggregation inhibitors is necessary. At postoperative follow-up 12 of the 18 patients reported that their sex life was unrestricted and they had spontaneous erections.

摘要

自1983年起,豪里对阴茎手术血管重建术的改良方法就已为人所知;其特点是腹壁下动脉与阴茎背动脉之间进行吻合,并与阴茎背深静脉建立动静脉分流。自1986年以来,这项外科技术已应用于18例血管性勃起功能障碍患者。他们的平均年龄为47岁,平均观察期为8个月。除非通过选择性动脉造影在内侧阴部动脉远端区域证实存在病理性血管,否则我们不认为该手术有指征。术后,需要进行为期6个月的血小板聚集抑制剂治疗。术后随访时,18例患者中有12例报告其性生活不受限制,且有自发勃起。

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1
[Revascularization of the penis in vascular-induced erectile dysfunction: clinical results of the Hauri surgical method].[血管性勃起功能障碍的阴茎血运重建:豪里手术方法的临床结果]
Urologe A. 1988 Nov;27(6):336-9.
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