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报告对23例静脉性阳萎的诊治体会,提出确立诊断须依据:①病史、体检和实验室检查没有提示其他类型阳萎的阳性结果;②特殊检查须有:罌粟碱试验阴性,阴茎-臂动脉血压指数≥0.75,海绵体灌注试验结果不正常,快速灌注海绵体造影显示静脉漏。治疗根据静脉漏类型选择不同的手术方法。经3～22个月的随访,性功能恢复正常或能进行性交者达76.2%。疗效不佳为筛选诊断技术不够完善、并存的心理因素未解除或静脉漏阻断不全所致。阴茎脚静脉漏尚缺乏理想疗法。作者设计的经会阴施行阴茎深静脉结扎术,对阻断阴茎脚静脉漏的疗效比较满意。
The report of 23 cases of venous impotence diagnosis and treatment experience, put forward to establish the diagnosis should be based on: ① history, physical examination and laboratory tests did not prompt other positive results of impotence; ② special examination must have: papaverine test negative, penis - arm Arterial blood pressure index ≥ 0.75, cavernous perfusion test results are not normal, rapid perfusion cavernous angiography showed venous leakage. Treatment According to the type of venous leak to choose a different surgical method. After 3 to 22 months of follow-up, sexual function returned to normal or sexual intercourse reached 76.2%. Curative effect is not perfect screening diagnostic techniques, the coexistence of psychological factors have not been lifted or venous insufficiency due to incomplete. Penile foot vein leakage is still lack of ideal therapy. The author designed perineal penile deep vein ligation, the penile vein to block the leakage of the efficacy of more satisfactory.