摘要
目的:动脉性阳痿主要是阴茎动脉供血不足或缺乏所致。由于缺血、缺氧对阴茎输入、输出血管壁肉垫易纤维化,失去正常开放与舒张功能,进而加重了阳痿。通过动脉重建以改善阴茎供血、供氧,促使受损组织得以康复。方法:运用显微外科技术作腹壁下动脉—海绵体吻合2例;与阴茎背动脉端端、端侧吻合10例;与阴茎背深静脉端端吻合25例。本组采取端端、端侧、套入、血管移植等方法,全部作阴茎背深、脚静脉结扎。结果:术后随访5～60个月显效20例,占54.05%;满意12例,占32.34%;无效5例,占13.51%。结论:动脉性阳痿,不仅阴茎供血不足造成损害,而且影响或加重静脉系统关闭不全,一旦发生器质性改变,手术效果将不够理想。笔者主张动脉性阳痿尽早作动脉重建是较为理想的选择。
Objectives： Arteriogenic impotence is mainly caused by the lack of blood-supply in the penis artery. Because of isehemia and pneumatorexis, the walls of blood vessels in penis tend to become fibrosis, and then lose the normal function of patefaction and diastolization, finally aggravate the impotence. Re -establishment of artery can recondition the penis＇s function of blood -supply and oxygen supply, and accelerate convalescence of the damaged issues. Methods： Two cases were sewn up of the artery under abdominal wall and the corpora cavemosum by the surgical technique applied under microscope ; Ten cases were sewn up of the artery under abdominal wall and the back -artery or penis by the surgical technique applied under microscope; Twenty -five cases were sewn up of the artery abdominal wall and the back - deep - vein of penis by the surgical technique applied under microscope. The three groups all perform ligation operations on the back - deep - vein of penis and the root - vein of penis with the methods of hand - hand,hand - side, enbole and blood vessel grafting. Results： The follow-up survey showed that twenty cases reported improved effect within 5 -6 months （54. 05% ）; twelve cases felt satisfactory （ 32. 34% ）; five cases revealed no improved effects （ 13. 51% ）. Conclusion： Arteriogenic impotence not only causes shortage of blood - supply in the penis, but also influence the closure function of vein - system. The reestab- lishment operation result would not be ideal if there are organic changes. Therefore, the author suggests that it is the best choice for the arteriogenie impotence patients to undergo artery re -established operation as early as possible.
出处
《中国性科学》
2009年第10期26-27,29,共3页
Chinese Journal of Human Sexuality
关键词
动脉性
阳瘘
显微
重建
Arteriogenic
Impotence
Microscope
Re - establishment
