摘要
目的观察男性勃起功能障碍诊疗中彩色多普勒超声的应用效果。方法选取福建中医药大学附属第三人民医院2022年8月至2023年12月就诊的71例疑似阴茎勃起功能障碍患者为研究对象,采用IIEF-5自评表初步筛查,患者口服PDE5抑制剂,充分刺激且勃起后采用超声检查,使用SWE测算阴茎硬度模量值。结果IIEF-5问卷评分结果显示23例勃起功能轻度障碍,30例中度障碍,18例重度障碍,评分越低勃起功能障碍程度越严重;超声血流动力学检查结果显示15例正常,16例动脉灌注不足,17例阴茎静脉闭塞功能不全,23例动静脉功能不全;阴茎硬度与血流动力学、IIEF-5分值间存在显著相关性(P<0.05)。结论彩色多普勒超声可检测患者阴茎血流动力学,判断ED类型,剪切波弹性成像技术有望成为评估阴茎勃起功能检测的常规手段。
Objective To observe the effect of color Doppler ultrasound in the diagnosis and treatment of male erectile dysfunction.Methods 71 patients with suspected penile erectile dysfunction enrolled in the outpatient department of the Third People's Hospital affiliated to Fujian University of Traditional Chinese Medicine from August 2022 to December 2023 were selected as the study subjects.The IIEF-5 self-evaluation form was used for preliminary screening.The patients were given PDE5-5 inhibitor orally,and after sufficient stimulation and erection,they were examined by ultrasound.The hardness modulus of penis was measured by SWE.Results The score of IIEF-5 questionnaire showed that there were 23 cases of mild erectile dysfunction,30 cases of moderate dysfunction,and 18 cases of severe dysfunction.The lower the score,the more serious the erectile dysfunction was.Ultrasonic hemodynamic examination showed that 15 cases were normal,16 cases were under-perfused,17 cases were penile vein occlusion insufficiency,and 23 cases were arteriovenous insufficiency.There is a significant correlation between penis hardness and hemodynamics and IIEF-5 score(P<0.05).Conclusion Color Doppler ultrasound can detect the penile hemodynamics,judge the ED type,and shear wave elastic imaging technology,which is expected to become a routine means to evaluate penile erectile function.
作者
林伟伟
黄绥心
LIN Weiwei;HUANG Suixin(Fujian University of Traditional Chinese Medicine Affiliated Third People's Hospital Ultrasound department,Fuzhou 350108,china)
出处
《中华灾害救援医学》
2024年第6期645-648,共4页
Chinese Journal of Disaster Medicine
基金
福建中医药大学2022年度校管课题(XB2022033)。
关键词
勃起功能障碍
彩色多普勒超声
诊断
erectile dysfunction
color doppler ultrasound
diagnosis
