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作者在520例主诉阳萎的患者中筛选出20例静脉漏性阳萎,筛选方法如下。通过询问病史、查体、心理学咨询、NPT研究,除外心理性阳萎。通过神经系统临床检查、球海绵体肌反射测定,除外神经性阳萎。通过测定血清睾酮,催乳素等,除外内分泌性阳萎。通过用多普勒超声测定两根阴茎动脉收缩压,计算阴茎—臂收缩压指数(PBI),并对PBI<0.8者行选择性阴部动脉造影,除外动脉供血不足性阳萎,剩余86例,行海绵体内罂粟碱注射。对25例注射后部分勃起或不勃起者,行海绵体灌流,灌流分三步:(1)以80ml/min的流量灌注盐水,并逐渐增加,直至勃起。同时测定海绵体内
In 520 patients complained of impotence in the selection of 20 cases of intravenous leakage, screening methods are as follows. By asking medical history, physical examination, psychology counseling, NPT study, except for psychological impotence. Through the nervous system clinical examination, ball sponge muscle reflex assay, except for neurogenic impotence. By measuring serum testosterone, prolactin, etc., except for endocrine impotence. The penile-arm systolic pressure (PBI) was calculated by Doppler ultrasonography and penile artery perfusion imaging was performed on PBI <0.8, with the exception of arterial insufficiency impotence, the remaining 86 cases, Intracavernous papaverine injection. For 25 cases of erectile or non-erectile after injection, sponge perfusion, perfusion in three steps: (1) 80ml / min perfusion saline, and gradually increased until the erection. Simultaneous determination of sponge body