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目的评价应用无水乙醇栓塞阴茎背深静脉治疗静脉性勃起功能障碍(ED)的有效性。方法10例静脉性ED患者行阴茎背深静脉栓塞,其诊断依靠阴茎彩超及海绵体造影。分离阴茎背深静脉后插入静脉导管至前列腺静脉丛,监视下按5:1比例注入无水乙醇及造影剂,直至静脉漏显示消失。结果随访4~24个月,7例术后恢复勃起,2例口服万艾可有效,1例无效,6例治愈无复发,均无严重并发症。结论本研究表明栓塞阴茎背深静脉治疗静脉性ED简单易行、创伤小、安全价廉,有显著的疗效,尚需扩大样本进一步长期随访观察疗效。
Objective To evaluate the efficacy of absolute ethanol embolization of penile dorsal vein in the treatment of venous erectile dysfunction (ED). Methods Ten cases of venous ED patients underwent penile dorsal vein thrombosis. The diagnosis was based on penis and cavernous angiography. After the separation of the penile dorsal vein into the venous catheter to the venous plexus, monitoring the proportion of 5: 1 by injection of ethanol and contrast agents until the venous drain disappears. Results The patients were followed up for 4 to 24 months. Seven patients recovered erection after operation. Two patients were treated with Viagra and one was ineffective. Six patients had no recurrence and no serious complications were found. Conclusions This study shows that embolization of the penile dorsal vein for the treatment of venous ED is simple and easy to operate with less trauma and lower cost. Therefore, it is necessary to expand the sample for further long-term follow-up.