[低强度体外冲击波治疗勃起功能障碍：一项系统评价]
[Low-intensity extracorporeal shock wave therapy for erectile dysfunction: A systematic review].
作者信息
Ochoa A, Guillot-Tantay C, Misrai V, Rouprêt M
机构信息
Sorbonne université, GRC 5 onco-urologie prédictive, Assistance publique-Hôpitaux de Paris, hôpital La Pitié Salpêtrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
Service d'urologie, Clinique Pasteur, Toulouse, France.
出版信息
Prog Urol. 2021 Jun-Jul;31(8-9):506-518. doi: 10.1016/j.purol.2020.11.005. Epub 2021 Apr 30.
INTRODUCTION
Our purpose was to assess the efficacy of low intensity extracorporeal shock waves (SW) for the treatment of organic erectile dysfunction (ED).
METHODS
A systematic review of the literature published between 2000 and 2020 was conducted using the PRISMA methodology. We used Medline data with the following key words (MesH): "extracorporeal shock wave therapy"; "erectile dysfunction"; "sexuality".
RESULTS
Nineteen articles were selected: thirteen randomised controlled trial and six meta-analyses. Most of them studied vascular etiology. Low intensity SW is beneficial ED is evaluated by the IIEF, EHS scores and penile hemodynamic.
CONCLUSION
SW may have a theoretical impact on the vascular etiology of organic DE. Their use in this context is supported by the European Society of urology and the European Society of sexual medecine. However, there are discrepancies in current data to establish a protocol to follow in daily practice.
引言
我们的目的是评估低强度体外冲击波（SW）治疗器质性勃起功能障碍（ED）的疗效。
方法
采用PRISMA方法对2000年至2020年发表的文献进行系统综述。我们使用了带有以下关键词（医学主题词）的Medline数据：“体外冲击波疗法”；“勃起功能障碍”；“性功能”。
结果
共筛选出19篇文章：13项随机对照试验和6项荟萃分析。其中大多数研究血管病因。通过国际勃起功能指数（IIEF）、勃起硬度评分（EHS）和阴茎血流动力学评估，低强度SW对ED有益。
结论
SW可能对器质性ED的血管病因有理论影响。欧洲泌尿外科协会和欧洲性医学协会支持在这种情况下使用SW。然而，目前的数据存在差异，无法建立日常实践中遵循的方案。
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