中文摘要：

目的：探讨分析腹壁下动脉-阴茎背深静脉吻合术治疗血管性勃起功能障碍的近、远期疗效与并发症。方法：2005~2015年我院通过腹壁下动脉-阴茎背深静脉吻合手术治疗血管性勃起功能障碍患者共5例,对其进行随访。手术将阴茎背深静脉近心端结扎,并进行腹壁下动脉-阴茎背深静脉远心端吻合。分析患者在术前、术后的IIEF-5评分、晨勃频率（n次/10d）、阴茎硬度、性生活质量以及术后并发症的发生情况。结果：5例勃起功能障碍患者均顺利完成手术,患者术后IIEF-5评分显示勃起功能恢复正常[术前（5.2±0.45）vs.术后（23.60±1.34）,P〈0.05）],勃起硬度改善明显。手术后患者晨勃频率明显增加[术前（1.2±0.84）vs.术后（6.4±1.14）,P〈0.05]。多普勒彩超术前术后对比：左侧PSV[（38.0±13.10）vs.（55.6±14.97）,P〈0.05];右侧PSV[（27.8±13.88）vs.（50.6±21.18）,P〈0.05];左侧EDV[（6.0±1.41）vs.（3.8±0.84）,P〈0.05];右侧EDV[（4.4±0.89）vs.（2.4±1.67）,P〈0.05]。1例患者术后出现包皮水肿、阴茎头过度充血伴黏膜糜烂,1例患者出现勃起疼痛,对症治疗后均好转。结论：腹壁下动脉-背深静脉吻合术治疗血管性ED,能明显提高患者长期勃起功能。

英文摘要：

Objective：To investigate the efficacy and complications of the anastomosis of the inferior epigastric artery and penile deep dorsal vein for treating vascular erectile dysfunction（ED）. Method： From 2005 to 2015, five patients with vascular ED were treated by anastomosis of inferior epigastric artery and deep dorsal vein of penis. After surgical ligation of the proximal deep dorsal vein of the penis was performed, the anastomosis of the inferior epigastric artery and deep dorsal penile vein was performed. We analysed the preoperative and postoperative IIEF-5 score, morning wood frequency（times/10 days） , the penis hardness, quality of sexual life and postoperative com- plications. Result： The five ED patients were successfully completed surgery. Postoperative IIEF-5 score showed that the erectile function returned to normal（preoperative and postoperative score comparison： 5.2 ±0. 45 vs 23.60 ± 1.34, P〈 0.05）. Erection hardness improved significantly. Morning wood frequency increased after surgery（comparison of preop- erative and postoperative： 1.2 ± 0.84 vs 6.4 ±1.14, P〈0. 05）. We compared color doppler ultrasonographybe- fore and after surgery： the left PSV（38± 13.10 vs 55.6±14.97, P〈0.05） ;right PSV（27. 8±13. 88 vs 50.6 ± 21.18, P〈0.05） ;left EDV（6±1. 41 vs 3.8±0.84, P〈0.05） ;right EDV（4.4±0.89 vs 2.4±1.67, P〈0.05）. Edema of prepuce, excessive hyperemia of glans penis and erosion of mucosa were observed in one patient, and e rectile pain was observed in another patient. Conclusion： Anastomosis of the inferior epigastrie artery and deep dor- sal vein of penis for treatment of vascular ED can significantly improve the long-term postoperative erectile function.