勃起功能障碍的现代血管内治疗方法：批判性分析

MODERN ENDOVASCULAR TREATMENT METHODS FOR ERECTILE DYSFUNCTION: A CRITICAL ANALYSIS.

作者信息

Piegza Magdalena, Paterak Mateusz, Błachut Michał, Piegza Jacek

机构信息

CHAIR AND DEPARTMENT OF PSYCHIATRY IN TARNOWSKIE GORY, SCHOOL OF MEDICINE WITH THE DIVISION OF DENTISTRY IN ZABRZE, POLAND, MEDICAL UNIVERSITY OF SILESIA IN KATOWICE, ZABRZE, POLAND.

STUDENT SCIENTIFIC SOCIETY AT CHAIR AND DEPARTMENT OF PSYCHIATRY IN TARNOWSKIE GORY, SCHOOL OF MEDICINE WITH THE DIVISION OF DENTISTRY IN ZABRZE, POLAND, MEDICAL UNIVERSITY OF SILESIA IN KATOWICE, ZABRZE, POLAND.

出版信息

Wiad Lek. 2020;73(9 cz. 2):2049-2055.

PMID:33148858

Abstract

OBJECTIVE

75% of men with coronary artery disease confirmed by coronarography have erectile dysfunction in history, while 75% of patients with a vascular etiology of ED have significant stenoses in penile arterial vascularization. Patients with coronary artery disease have shown a relationship between the range of the lesions in the coronary vessels and erectile dysfunction intensity. This paper aims at attempting to systematize the knowledge of the benefits and drawbacks of nonsurgical endovascular treatment methods for erectile dysfunction with confirmed vascular causes. It analyzes seven studies which assess the results of erectile dysfunction treatment with percutaneous angioplasty. It also mentions the limitations of the cited works and formulates relevant conclusions.

CONCLUSION

Conclusions: The analysis shows that endovascular procedures in erection-related arteries are safe in a specially selected group of men. It is necessary to conduct further studies to define an appropriate group of patients who have a chance of benefiting optimally from the endovascular treatment of erectile dysfunction in a long-term follow-up.

摘要

目的

经冠状动脉造影确诊的冠心病男性患者中，75%有勃起功能障碍病史，而75%血管性病因导致勃起功能障碍的患者阴茎动脉血管存在严重狭窄。冠心病患者已显示出冠状动脉病变范围与勃起功能障碍严重程度之间的关联。本文旨在尝试系统整理经证实由血管原因导致的勃起功能障碍的非手术血管内治疗方法的利弊知识。分析了七项评估经皮血管成形术治疗勃起功能障碍结果的研究。还提及了所引用研究的局限性并得出相关结论。