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海绵体静脉阻断障碍是器质性阳萎的一种重要原因,其特点为在海绵体内盐水灌注以产生人工勃起时产生及保持勃起的流率增加。从1982到1986年67名因这种勃起障碍作阴茎背深静脉结扎切除。远期随访进行夜间勃起测定,药物性海绵体测压及关于性生活的调查表。手术操作是在手术室中掌握使勃起流率减少,31名手术后性能力恢复并能满意性交。作背深静脉切除者较单纯结扎效果稍好。4例因手术解剖致阴茎头不敏感。7例在术后数月由于其它深静脉漏而复发。8例失败是由于另有精神因素或治疗前未被正确诊断的神经疾病,这些病人在静脉手术后都发生正常的罌粟硷诱发勃起而手术前
Cavernous vein occlusion disorders are a significant cause of organic impotence and are characterized by an increased rate of erection that occurs when intracavernosal saline is infused to produce artificial erections. From 1982 to 1986, 67 patients underwent penile dural deep vein ligation resection for this erectile dysfunction. Long-term follow-up for the determination of nighttime erection, cavernous manometry and questionnaires about sexual life. Surgical operation is controlled in the operating room to reduce the erectile flow rate, 31 postoperative recovery of sexual ability and can be satisfied with sexual intercourse. Dorsal deep vein resection than simple ligation slightly better. 4 cases of anatomy caused by the penis is not sensitive. Seven patients recurred due to other deep venous leaks months after surgery. Eight patients failed because of other psychiatric factors or neurological illnesses that had not been properly diagnosed before treatment. These patients developed normal papaverine-induced erectile dysfunction after intravenous surgery prior to surgery