- 期刊
陰莖海綿體內注射罌粟鹼之臨床試驗
Diagnostic Intracorporeal Papaverine Injection
摘要
從民國76年5月至11月，共有40位所謂陽萎症病人接受陰莖海綿體內注射譻粟鹼試驗 (intracorporeal papaverine injection test)，正常反應者14人 (35%)，減弱反應 (impaired response)者16人 (40%)，無反應者10人 (35%)，其中1人發生異常持續勃起 (priapism)，經由龜頭抽吸陰莖海綿體內的血液後，恢復原狀，且仍保有勃起能力。譻粟鹼試驗是一種鑑別診斷血管性陽萎症很好的篩檢試驗，而且副作用不多。我們同時利用都卜勒 (doppler)測量這些病人的陰莖血壓，將陰莖血壓除以手臂血壓求得陰莖臂血壓比 (penile-brachial index，簡稱PBI)，其比值與譻粟鹼試驗結果相關連。
關鍵字
無資料並列摘要
Intracorporeal papaverine injection has been used as an outpatient procedure to assess 40 cases of impotent patients. Fourteen (35%) responded normally; sixteen (40%) has an impaired response, and ten (25%) had no response at all. Priapism occurred in one patient and spontaneous detumescence occurred after aspiration through glans penis. The technique is a valuable diagnostic tool for differential diagnosis of vasculogenic impotence. We obtained the penile pressure with a Doppler stethoscope and compared the penile-brachial index to the papaverine test for an evaluation of impotent patients.