单纯动脉性阳痿患者的显微外科动脉-动脉和动脉-静脉阴茎血运重建术
Microsurgical arterio-arterial and arterio-venous penile revascularization in patients with pure arteriogenic impotence.
作者信息
Janssen T, Sarramon J P, Rischmann P, Bennis S, Malavaud B
机构信息
Department of Urology, Renal Transplantation and Andrology, CHU Purpan, Toulouse, France.
出版信息
Br J Urol. 1994 May;73(5):561-5. doi: 10.1111/j.1464-410x.1994.tb07644.x.
OBJECTIVE
To restore physiological erection by performing microsurgical penile revascularization.
PATIENTS AND METHODS
The records of 21 patients with pure arteriogenic impotence were reviewed. Thirteen patients with localized obstruction of the internal pudendal or common penile artery underwent a Michal II arterio-arterial penile revascularization. Eight patients with a more distal arterial obstruction underwent a penile deep dorsal vein arterialization (DDVA). The mean follow-up period was 22 months. Surgery was considered successful when the patients had a permeable anastomosis and were able to achieve satisfactory erections resulting in normal intercourse.
RESULTS
Potency was restored in eight of the 13 patients who had a Michal II procedure and in five of the eight patients who had a DDVA. Under antithrombotic therapy graft occlusion occurred in four patients.
CONCLUSION
Microsurgical penile revascularization restored erectile function in two-thirds of patients in this study. However, further research must be performed to reach a greater understanding of the revascularization process.
目的
通过进行显微外科阴茎血管重建术恢复生理性勃起。
患者与方法
回顾了21例单纯动脉性阳痿患者的病历。13例阴部内动脉或阴茎总动脉局部阻塞的患者接受了米哈尔II型动脉-动脉阴茎血管重建术。8例动脉阻塞位置更远端的患者接受了阴茎背深静脉动脉化（DDVA）。平均随访期为22个月。当患者吻合口通畅且能够实现满意勃起并进行正常性交时，手术被认为成功。
结果
接受米哈尔II型手术的13例患者中有8例恢复了性功能，接受DDVA的8例患者中有5例恢复了性功能。在抗血栓治疗期间，4例患者发生了移植物闭塞。
结论
在本研究中，显微外科阴茎血管重建术使三分之二的患者恢复了勃起功能。然而，必须进行进一步的研究以更深入地了解血管重建过程。
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