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400例勃起障碍者用多普勒血流测定结合硝酸甘油刺激试验,发现42例有阴茎动脉血流减少。动态海绵体造影及海绵体测压示其中32例同时有静脉引流增加。22例行阴茎动脉造影示21例有阴部内动脉阻塞。15例作了髂动脉及阴茎背深静脉之间的大隐静脉搭桥手术,在其中4例同时有静脉漏者在手术同时结扎髂内静脉。手术后二年2/3病人功能正常。5例失败者中,4例由于糖尿病性神经血管病变及1例手术后阴茎异常勃起。作者认为正确地诊断及选择阴部内动脉的损伤性及动脉硬化性病变,是手术后成功的重要
400 cases of erectile dysfunction with Doppler blood flow measurement combined with nitroglycerin stimulation test found that 42 cases of penile artery blood flow decreased. Dynamic sponge angiography and spongeometry showed 32 cases of venous drainage increased at the same time. 22 cases of penile artery angiography showed 21 cases of intracranial obstruction. Fifteen patients underwent saphenous vein bypass surgery between the iliac artery and the dorsal penile vein, in which 4 patients had venous leak while the iliac vein was ligated at the same time. Two-thirds of patients after surgery had normal function. Of the 5 losers, 4 were diabetic neurovascular disease and 1 patient had an abnormal erection of the penile after surgery. The authors believe that the correct diagnosis and selection of intracranial artery injury and arteriosclerotic lesions, the importance of success after surgery