胡海翔 袁之敏 贾海华 100036 北京空军总医院(胡海翔、袁之敏)；北京军区总医院(贾海华) 中华泌尿外科杂志 1999 0 20 7


    关键词：阳萎；病因学 期刊 zhmnwkzz 0 论著 fur -->


    

【摘要】 目的 探讨国人成年男性阳萎患者的病因。 方法 对630例阳萎病人进行了详细病史询问，进行夜间阴茎肿胀试验(NPT)，阴茎/肱动脉血压指数测定(PBI)，性激素测定，彩色多普勒检查及球海绵体肌反射潜伏时间测定等，进行综合分析。 结果 心理性阳萎者502例(79.7%)，器质性阳萎者128例(20.3%)。器质性阳萎中，以血管性最多见，占71.9%(92/128)，其中动脉性80例，静脉性12例。另有内分泌异常引起者20例，神经性6例，药源性5例，单纯老年性血睾酮低下引起者5例。 结论 国人心理性原因引起的阳萎多见，器质性阳萎发生率虽低，但绝对数字大，亦应引起重视。

An investigation ofthe causes of impotence in Chinese male adults (report of 630 cases)

XUHaixiang,YUAN Zhimin,JIA Haihua.

    Air Forece General Hospital,Beijing 100036

【 Abstract】 Objective To investigate the causes of impotence in Chinese maleadults. Methods In 630 impotentpatients,23～ 65 yearsof age with an average of 43,detail history and physical examinations,nocturnal peniletumescence (NPT),penile brachial index (PBI),sex hormone levels,color Dopplerultrasonography and bulbocavernosus reflex latency time were carried out and the causes ofimpotence were probed into. Results 502 cases (79.68%) were psychological and the causative factorswere listed.128 cases (20.32%) were physical,vascular being the cause in 92 of the 128(71.87%).Besides,hormonal dysfunction was noted in 20,neurological in 6,pharmacogenic in 5and low blood testosterone level in 5 elders. Conclusions Treatment depends on the cause and lifestyle of thepatients.According to the above data,psychological causes seems to be much more inChinese.Physical causes seems to be less but the absolute number of cases in China mightbe enormous and more attention should be paid.

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