线圈栓塞不合理用于治疗静脉闭塞功能障碍患者:病例系列和叙述文献综述
Ko-Shih Chang1,2, Cho-Hsing Chung3, Yi-Kai Chang4
1Division of Cardiovascular Medicine, Microsurgery Potency Reconstruction and Research Center, Yuan Rung Hospital, Yuanlin, Changhua 51052, Taiwan.
Life (Basel, Switzerland)
|July 27, 2024
概括
线圈栓塞 (CE) 不推用于治疗静脉封闭功能障碍 (VOD),尽管它对静脉的有效性. 这项研究发现,在五个案例中,CE对VOD无效,卷轴错位在与勃起有关的静脉中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 静脉封闭功能障碍 (VOD) 是勃起功能障碍的一个原因.
- 阴茎血管剥离 (PVS) 和线圈栓塞 (CE) 是对VOD的潜在治疗方法.
- 对于VODCE的有效性需要进一步研究.
研究的目的:
- 评估线圈栓塞 (CE) 在治疗静脉封闭功能障碍 (VOD) 的有效性.
- 为VOD提供CE的案例研究,并进行文献综述.
主要方法:
- 五名耐火性阳的男性患者接受了阴茎血管剥离 (PVS) 和CE.
- 进行了双重洞穴扫描,以记录与勃起有关的静脉和VOD.
- 使用PubMed进行了对VOD和水瘤CE的叙事文献综述.
主要成果:
- 线圈栓塞导致线圈迁移到各种静脉,包括深深的背静脉,前列腺周,阴道静脉,肺动脉和右心室.
- 根据IIEF-5和EHS分数,阴茎血管剥离显示了勃起功能的一些改善.
- 文献综述表明,CE是推的,对静脉的最少侵入性治疗方法,但不是对VOD.
结论:
- 线圈栓塞不是对静脉封闭功能障碍 (VOD) 的合理治疗方法.
- 虽然CE对静脉有效,但其在VOD治疗中的应用并未得到本研究结果的支持.
- 可能需要进一步的研究来探索VOD的替代治疗方法.
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