目的 :评价几种治疗阳萎方法的效果。方法 :对采用阴茎海绵体内药物注射、真空缩窄环、阻断阴茎背深静脉瘘、阴茎动脉重建和假体植入的 486例阳萎患者的临床资料进行回顾性分析。结果 :满意率阴茎海绵体内药物注射组为 30 .1% ( 6 9/ 2 2 9) ,真空缩窄环组为 14.3% ( 1/ 7) ,静脉瘘结扎组为 13.3% ( 4/ 30 ) ,静脉栓塞组为32 .2 % ( 10 / 31) ,阴茎动脉重建组为 5 0 .0 % ( 1/ 2 ) ,假体植入组为 95 .4% ( 42 / 44 )。结论 :使用海绵体内药物注射和真空缩窄装置虽为简便、安全和有效的方法 ,但因不具有治疗上的彻底性 ,患者满意率低和退出治疗者多 ,静脉性阳萎治疗的近期和远期效果均不佳 ;阴茎动脉重建术的成功取决于术前的详细检查确诊并排除同时存在的神经病因 ;阴茎假体植入法的满意率高 ,是当前较好的治疗阳萎方法 PURPOSE: To evaluate the efficacy of several treatments for impotence. Methods: The clinical data of 486 cases of impotence patients who were injected with penicillin, vacuum narrowing ring, blocking dorsal penile vein fistula, penile artery reconstruction and implanting were retrospectively analyzed. Results: The satisfaction rate was 30.1% (6/22) in the penis injection group, 14.3% (1/7) in the vacuum narrowing ring group and 13.3% (4/30) in the vein fistula ligation group 32.2% (10/31) in the embolization group, 50.0% (1/2) in the penile artery reconstruction group and 95.4% (42/44) in the prosthesis implantation group. Conclusion: The sponge in vivo drug injection and vacuum constriction device is a simple, safe and effective method. However, due to lack of therapeutic thoroughness, low patient satisfaction and withdrawal from treatment, the recent and recent advances in intravenous impotence The long-term effect is not good; the success of penile artery reconstruction depends on the detailed examination before surgery to confirm and exclude the existence of concurrent neurological causes; penile prosthesis implantation rate of satisfaction is the current better treatment of impotence method