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阴茎海绵体内药物治疗勃起功能障碍:合适药物及剂量的选择。

Intracavernous pharmacotherapy for impotence: selection of appropriate agent and dose.

作者信息

von Heyden B, Donatucci C F, Kaula N, Lue T F

机构信息

Department of Urology, University of California School of Medicine, San Francisco.

出版信息

J Urol. 1993 May;149(5 Pt 2):1288-90. doi: 10.1016/s0022-5347(17)36370-x.

DOI:10.1016/s0022-5347(17)36370-x
PMID:8479018
Abstract

We performed a retrospective analysis of 101 impotent patients using intracavernous self-injections as primary therapy for vasculogenic impotence. A total of 70 patients used an average of 5.58 micrograms prostaglandin E1 (95% confidence interval 4.83 to 6.34 micrograms) as a single agent, and 31 injected 0.40 ml. (95% confidence interval 0.342 to 0.457 ml.) of a combination of papaverine (12 mg./ml.), phentolamine (1 mg./ml.) and prostaglandin E1 (9 micrograms/ml.). We describe the procedure to establish the dosage for home use and discuss the implications of the low dosages relative to previous reports.

摘要

我们对101例阳痿患者进行了回顾性分析,这些患者将海绵体内自我注射作为血管性阳痿的主要治疗方法。共有70例患者平均使用5.58微克前列腺素E1(95%置信区间为4.83至6.34微克)作为单一药物,31例患者注射了0.40毫升(95%置信区间为0.342至0.457毫升)的罂粟碱(12毫克/毫升)、酚妥拉明(1毫克/毫升)和前列腺素E1(9微克/毫升)的混合液。我们描述了确定家庭使用剂量的方法,并讨论了与先前报告相比低剂量的影响。

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Intracavernous pharmacotherapy for impotence: selection of appropriate agent and dose.阴茎海绵体内药物治疗勃起功能障碍:合适药物及剂量的选择。
J Urol. 1993 May;149(5 Pt 2):1288-90. doi: 10.1016/s0022-5347(17)36370-x.
2
Prostaglandin E1 versus phentolamine/papaverine for the treatment of erectile impotence: a double-blind comparison.前列腺素E1与酚妥拉明/罂粟碱治疗勃起功能障碍的双盲比较
J Urol. 1989 Mar;141(3):549-50. doi: 10.1016/s0022-5347(17)40889-5.
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[Intracavernous injection of vasoactive drugs for treating erectile impotence].[海绵体内注射血管活性药物治疗勃起功能障碍]
Hinyokika Kiyo. 1988 Feb;34(2):301-4.
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[Intracavernous pharmacotherapy for treatment and evaluation of impotence].[阴茎海绵体内药物治疗用于阳痿的治疗与评估]
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Prostaglandin E1 with phentolamine for the treatment of erectile dysfunction.前列腺素E1联合酚妥拉明治疗勃起功能障碍
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The change of penile blood thromboxane B2 and prostacyclin after intracavernous injection of vasoactive drugs for the treatment of arteriogenic impotence.海绵体内注射血管活性药物治疗动脉性阳痿后阴茎血栓素B2和前列环素的变化
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Intracavernous self-injection pharmacotherapy program: analysis of results and complications.海绵体内自我注射药物治疗方案:结果与并发症分析
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Effect of multidose intracorporeal injection and audiovisual sexual stimulation in vasculogenic impotence.多剂量体内注射及视听性刺激对血管性阳痿的影响
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引用本文的文献

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Evaluation of penile perfusion by color-coded duplex sonography in the management of erectile dysfunction.彩色编码双功超声评估阴茎灌注在勃起功能障碍治疗中的应用
World J Urol. 2004 Nov;22(5):361-4. doi: 10.1007/s00345-004-0423-y. Epub 2004 Jul 20.
2
Papaverine plus prostaglandin E1 versus prostaglandin E1 alone for intracorporeal injection therapy.罂粟碱加前列腺素E1与单独使用前列腺素E1用于体内注射治疗的比较
Int Urol Nephrol. 1998;30(2):193-6. doi: 10.1007/BF02550576.
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Intracavernous alprostadil. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential in erectile dysfunction.
海绵体内注射前列地尔。其药效学、药代动力学特性及在勃起功能障碍中的治疗潜力综述。
Drugs Aging. 1996 Jan;8(1):56-74. doi: 10.2165/00002512-199608010-00009.
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Impotence: diagnosis and management of male erectile dysfunction.阳痿:男性勃起功能障碍的诊断与管理
BMJ. 1994 Apr 9;308(6934):957-61. doi: 10.1136/bmj.308.6934.957.