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1990~1995年期间,22例静脉性阳萎患者接受手术治疗,其中行单纯性阴茎背静脉结扎切除术3例,阴茎脚加阴茎背静脉结扎术19例。经平均14.3个月随访,Ⅰ级11例,阴茎勃起正常;Ⅱ级6例,阴茎仍勃起不坚,但可性交,总有效率77.3%。作者对其中16例患者的阴茎背深静脉进行了组织病理学研究,并以3例正常人阴茎背深静脉作对照。结果显示,所有16例患者的阴茎背深静脉均有病理改变,其中最多见的是管壁增厚或厚薄不匀(13例),呈现为中层平滑肌或纤维组织结节状或(和)弥漫性增生;变性10例;5例有外膜纤维组织增生。作者对静脉性阳萎的发病机理及手术治疗远期疗效降低这一现象进行了讨论。
Between 1990 and 1995, 22 patients with venous impotence were treated by surgery, including 3 cases of simple penis dorsal vein ligation and 19 cases of penis and penis dorsal vein ligation. After an average of 14.3 months of follow-up, grade Ⅰ in 11 cases, normal penile erection; Ⅱ grade in 6 cases, the penile erection is not strong, but sexual intercourse, the total effective rate of 77.3%. The authors conducted a histopathological study on the dorsal penile vein of 16 patients and compared the penile dorsal vein with 3 normal controls. The results showed that all 16 patients had pathological changes in the dorsal penile veins, the most common of them were thickening of the wall or uneven thickness (13 cases), presenting as mid-level smooth muscle or fibrous nodular or diffuse Hyperplasia; degeneration in 10 cases; 5 cases of adventitia fibrous tissue hyperplasia. The authors discuss the pathogenesis of venous impotence and the long-term efficacy of surgical treatment to reduce this phenomenon were discussed.