Kawai M
First Department of Surgery, Nagoya University, Japan.
Jpn J Surg. 1988 Sep;18(5):514-20. doi: 10.1007/BF02471484.
The relationship between penile pressure and hypogastric arterial insufficiency, as well as the changes in the penile brachial pressure index and male sexual function after aortoiliac vascular reconstruction, were investigated in 47 patients with arteriosclerosis obliterans and in 6 patients with Buerger's disease. When the penile brachial pressure index was greater than 0.7, a value compatible with normal sexual function, there was enough arterial circulation to keep at least one hypogastric artery patent. In cases where there was insufficiency of both hypogastric arteries, the index increased significantly after the inflow was restored, even if it was unilateral, following arterial reconstruction. Reconstruction of the blood flow to the femoral artery tended to increase the index even without restoration of hypogastric flow, especially when the inferior mesenteric artery was occluded. In cases of high aortic occlusion, restoration of blood to the femoral artery alone led to a greatly significant increase in the index. These facts indicate that branches of the femoral artery and the inferior mesenteric artery play an important role in the collateral circulation of pelvic hemodynamics when the hypogastric artery is occluded.
对47例动脉硬化闭塞症患者和6例血栓闭塞性脉管炎患者，研究了阴茎压力与腹主动脉供血不足之间的关系，以及主髂血管重建术后阴茎肱动脉压力指数和男性性功能的变化。当阴茎肱动脉压力指数大于0.7时，该数值与正常性功能相符，此时有足够的动脉循环以维持至少一条腹下动脉通畅。在双侧腹下动脉供血不足的情况下，即使在动脉重建后只是单侧恢复血流，该指数在血流恢复后也会显著升高。即使没有恢复腹下血流，股动脉血流重建也往往会使该指数升高，尤其是在肠系膜下动脉闭塞时。在高位主动脉闭塞的情况下，仅恢复股动脉血流就会使该指数大幅显著升高。这些事实表明，当腹下动脉闭塞时，股动脉分支和肠系膜下动脉在盆腔血流动力学的侧支循环中起重要作用。
