摘要
目的:探讨夜间生物电阻抗容积测定(NEVA)在诊断勃起功能障碍(ED)中的应用价值。方法:对临床怀疑ED的100例患者进行NEVA测定。其中58例怀疑血管性ED,将该测定与阴茎海绵体造影联合彩超检查进行比较。结果:10例糖尿病性ED中有2例夜间阴茎勃起(NPT)正常,2例为动脉供血不足,6例无NPT。4例内分泌性ED患者中,2例NPT正常,2例无NPT。20例心理性ED的患者中,16例NPT正常,1例为动脉供血不足,3例无NPT。58例怀疑血管性ED的患者中确诊者有30例,其中18例为动脉性,12例为静脉性,非血管性ED28例。而应用NEVA发现在30例血管性ED中6例NPT正常,28例非血管性ED中4例NPT异常。8例外伤性ED中,2例腰椎骨折患者的NPT表现为轻度动脉供血不足;3例骨盆骨折患者中2例NPT正常,1例无NPT;3例骨盆骨折并发-后尿道断裂的患者,2例NPT正常,1例NPT提示动脉供血不足。结论:NE-VA对临床上怀疑心理性ED和血管性ED的诊断有较好的参考价值。
Objective： To evaluate the clinical value of nocturnal electrobioimpedance volumetric assessment （NFVA） in diagnosis of erectile dysfunction（ED）. Methods： One hundred patients who were suspicious of ED in clinic were evaluated by NEVA. With combining Cavernosonography and Pharmacopenile color doppler ultra sonography diagnose, 58 patients were diagnosed as having vasculogenic ED. Results of NEVA, Cavernosonogra phy and Pharmacopenile color doppler ultrasonography were compared. Results： Among 10 patients with diabetes mellitus induced ED, 2 patients were found having normal NPT, 2 patients having reduction of blood flow NPT. 6 patients having no NPT. Among 4 patients with endocrinology induced ED. 2 patients were found having normal NPT. the remains having no NPT. In 20 pationts with psychological induced ED, 16 patients were found having normal NPT, 1 patients having reduction of blood flow NPT, 3 patients having no NPT. Among 58 patients who were suspicious of vasculogenic ED. 30 patients were diagnosed as having vasculogenic ED （18 arterial EI） and 12 venous ED） and the other 28 wore diagnosed as having non vasculogenic ED. Sixvasculogenic ED patients presented normal at NEVA and 4 non-vasculogenic ED patients had abnormal NEVA. Among 8 patients with injure in duccd ED, 2 paticnts who were lumbar fracture having light reduction of blood flow NPT. Among 3 patients with pclvic fracture, 2 patients having normal NPT and the others having no NPT. Among 3 patients with pelvic fracture and posterior urethra rupturc, 2 patients having normal NPT. the others having reduction of blood flow NPT. Conclusions： NEVA is useful in differentiating psychological and vasculogenic ED.
出处
《临床泌尿外科杂志》
2006年第1期12-14,17,共4页
Journal of Clinical Urology
关键词
勃起功能障碍
夜间生物电阻抗容积测定
海绵体造影
多普勒超声检查
Erectile dysfunction
Nocturnal electrobioimpedance volumetric assessment
Cavernosonography
Pharmacopenile color doppler uhrasonography
