詹维伟,蒋跃庆.血管性阳痿的药物性阴茎双功能超声研究[J].中国医学影像技术,2000,16(3):0231~233
血管性阳痿的药物性阴茎双功能超声研究
Pharmacopenile Duplex Ultrasonography in Patients with Vascular Impotence
投稿时间:1999-09-01  
DOI:
中文关键词:  药物性阴茎双功能超声  阴茎  阳痿
英文关键词:Pharmacopenile Duplex ultrasonography(PPDU)  Penis  Impotence
基金项目:
作者单位
詹维伟 上海第二医科大学附属瑞金医院超声诊断科,上海200025 
蒋跃庆 上海第二医科大学附属第九医院 
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中文摘要:
      目的 评估药物性阴茎双功能超声( PPDU) 诊断血管性阳痿的临床价值。方法 受检者57 例,对照组 35 例为心理性阳痿,静脉性阳痿19 例,动脉性阳痿3 例。用Biosound2AU4 彩色超声诊断仪检查注射复方罂粟碱前 后的阴茎深动脉和背深静脉的内径和脉冲多普勒的血流频谱。结果 对照组和静脉性阳痿组的PSV 高于动脉性阳 痿组;静脉性阳痿组的EDV 高于对照组和动脉性阳痿组(P < 0101) ;静脉性阳痿组的RI 均> 0 ,而对照组和动脉性 阳痿组的RI ≤0 ;动脉性阳痿的ACC 低于对照组和静脉性阳痿组;静脉性阳痿组的VV 较对照组和动脉性阳痿组快 ( P < 0101) 。结论 PPDU 是诊断血管性阳痿的一个有效的诊断方法。
英文摘要:
      Objective To assess the value of pharmacopenile duplex Ultrasonography ( PPDU) for diagnosis of arteriogenic impotence. Methods Of 57 impotent men with 35 psychogenic impotence ,19 venous impotence ,3 arteriogenic impotence were examined with Biosound2AU4 unit . Duplex sonography was performed before and after intracavernosal injection of papaverine. Peak-systolic velocity(PSV) ,end-diastolic velocity( EDV) ,resistance index (RI) and accelerationin the cavernosal arteries were measured ,vein velocity (VV) were detemined for the deep dorsal vein. Results Significant differences in Doppler measurements were found among psychogenic impotence ,venous impotence ,arteriogenic impotence. PSV in psychogenic impotence group and venous impotence group were higher than that in arteriogenic impotence group. EDV is higher in group of venous impotence than in psychogenic impotence group and arteriogenic impotence groups. RI in group of venous impotence is plus ,while that in groups of psychogenic impotence group and arteriogenic impotence group is minus. The group of arteriogenic impotence has a lower ACC than psychogenic impotence group and venous groups. VV in venous impotence group is higher than that in psychogenic impotence group and arteriogenic impotence group. Conclusion PPDU is effcient method for diagnosing vascular impotence.
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