目的分析合并勃起功能障碍(ED)的男性冠心病患者冠状动脉造影表现。方法选择男性冠心病患者197例,接受冠状动脉造影检查和“勃起功能障碍国际指数问卷表(IIEF-5)”评估。结果 197例男性冠心病患者中合并ED患者112例(合并ED组,56.85%),未合并ED的冠心病患者85例(对照组);合并ED组3支病变29例,占25.89%,双支病变51例,占45.54%,平均病变支数5例,占5.88%,均明显多于对照组(36例,42.35%),同时前者的单支病变32例,占38.79%,明显少于对照组44例,51.76%(P均<0.01);合并ED组冠脉重度狭窄27例,占24.11%,中度狭窄50例,占44.64%,以及冠脉狭窄程度评分系统评分(Gensini积分)均明显多于对照组(4例,4.71%和34例,40.00%),同时前者的轻度狭窄35例,占31.25%,明显少于对照组47例,55.29%(P均<0.01)。结论冠心病合并ED常常提示冠状动脉病变范围和程度均较重。 Objective To analyze coronary angiography in men with coronary heart disease complicated with erectile dysfunction (ED). Methods A total of 197 male patients with coronary heart disease (CAD) were enrolled and underwent coronary angiography and IIEF-5 questionnaire. Results In 197 patients with coronary heart disease, 112 patients with ED (56.85% in ED group) and 85 patients without coronary artery disease (ED), 29 patients (25.89%) with coronary artery disease Fifty-one cases were pathological changes, accounting for 45.54%. The average number of lesions was 5.88%, all of which were significantly higher than those of the control group (36 cases, 42.35%). Meanwhile, the former had 32 cases with single vessel disease, accounting for 38.79% The control group (n = 44) was 51.76% (all P <0.01). Severe coronary stenosis in 27 patients (24.11%), moderate stenosis in 50 (44.64%) and coronary stenosis score (Gensini score) (4 cases, 4.71% and 34 cases, 40.00%). The former had mild stenosis in 35 cases (31.25%), which was significantly less than that in the control group (47 cases, 55.29%, P <0.01). Conclusion Coronary heart disease complicated with ED often suggest that the scope and extent of coronary lesions are serious.