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中華民國泌尿科醫學會雜誌

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篇名 Long Term Followup of Vasculogenic Impotence Treated by Deep Dorsal Penile Vein Arterialization - Three Cases Report
卷期 9:1
並列篇名 陰莖深部背靜脈的動脈化手術治療血管性陽萎之術後長期追蹤-三個病例報告
作者 王華斌謝輝和陳宏基江原正
頁次 32-35
關鍵字 陽萎陰莖深部背靜脈的動脈化impotencepenile vein arterializationTSCI
出刊日期 199803

中文摘要

一九八八年一月至一九八九年十二月之間,有五十位病人因勃起障礙,於門診做藥物引發陰莖勃起試驗,這些病人當中有三十三位疑似血管性功能障礙,然而祇有三位病患願意接受更進一步的檢查,包括三位海綿體攝影及兩位內陰動脈攝影。手術包括陰莖深部背靜脈的動哀化及結紮近端深陰莖靜脈。平均追蹤八年。術後兩位病人獲得完全改善,另一位仍需在海綿體內注射藥物,以達到完全勃起。有一位病人術後發生龜頭充血,在尿道口附近有壞疽性變化,後來作陰莖遠端深部背靜脈結紮而治癒。我們的研究顯示,血管性陽萎的病人,在病例選擇良好的情形之下,做陰莖深部背靜脈的動脈化手術可以使病人恢復勃起。

英文摘要

Between January 1988 and December 1989, 50 cases underwent PIPE (Phamacologically Induced Penile Erection) test for the evaluation of erectile dysfunction. Among these patients, 33 cases were suspected of having vasculogenic etiology. However, only 3 patients were willing to proceed further workup, which included cavernosography in 3 cases and selective pudendal ar-teriography in 2 cases. Deep dorsal penile vein arterialization and ligation of proximal deep penile vein were performed in these 3 patients with mean follow-up of 8 years. Two patients have achieved potency and another one is able to achieve full erection by intracavernous pharmaco-therapy. One patient suffered from glans hyperemia and gangrenous change around meatus, which was cured by ligation of dorsal penile vein at distal end. Our results suggest that full erection can be restored by deep penile vein arterialization in well selected patients diagnosed with vasculogenic impotence. (J Urol R.O.C., 9:32-35,1998)

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