摘要
目的 :分析阴茎海绵体静脉漏的不同影像学表现,为临床诊断及治疗静脉性勃起功能障碍提供参考。方法 :收集188例临床拟诊为不同程度静脉性勃起功能障碍的患者,行阴茎海绵体造影术,于不同体位下摄片,充分暴露并摄取阴部内静脉、髂静脉、背深静脉、脚静脉、尿道海绵体、阴部外静脉、龟头、腹侧浅静脉、旋静脉等结构,对不同海绵体静脉漏的影像表现进行分类统计。结果:188例中,阴部内静脉、髂静脉、背深静脉、脚静脉显影是海绵体静脉漏最主要的直接影像学表现(显示率分别为82.98%、82.45%、75.53%、63.83%);尿道海绵体、阴部外静脉、龟头、腹侧浅静脉显影是海绵体静脉漏的重要影像学表现(显示率分别为50.00%、32.98%、30.85%、21.28%);膀胱、输尿管显影为海绵体静脉漏的间接影像学表现(显示率分别为20.74%、12.23%);旋静脉的出现率较低(3.72%),对静脉漏的诊断影响不大;血肿是出现率较低(2.66%)但严重的并发症。结论:阴茎海绵体静脉漏的直接及间接影像学表现可为诊断静脉性阳痿提供更多依据。
Objective：Using the corpora cavernosa imaging technology to analyze imaging findings of corpora cavernosa venous leakage for clinical diagnosis and treatment. Methods：188 cases with venous erectile dysfunction diagnosed clinically were car-ried out cavernosography to analyze imaging finds of venous structures,such as venae pudenda interna,iliac vein,deep dorsal vein,penile crural vein,corpora spongiosum,venae pudendae externae,the glans penis,and ventral penile vein,circumflex veins of penis. Results：Among 188 cases,venae pudenda interna,iliac vein,deep dorsal vein,penile crural vein were the main channel of cavernous venous leakage （occurrence rate 82.98%、82.45%、75.53%、63.83%）. The development of corpora spongiosum,venae pudendae externae,the glans penis,ventral penile vein were important imaging findings of cavernous venous leakage （occurrence rate 50.00%、32.98%、30.85%、21.28%）. Bladder,ureteral development were indirectly imaging findings of cavernous venous leak-age （occurrence rate 20.74、12.23%）;circumflex veins of penis development rate was low （3.72%）,and had little influence to the diagnosis of venous leakage. Hematoma development was low （2.66%）,but was an significant complications. Conclusion：Di-rect and indirect imaging findings of corpus cavernosum venous leakage could provide more basis for diagnosis of venous sexual impotence.
出处
《中国中西医结合影像学杂志》
2017年第4期448-450,共3页
Chinese Imaging Journal of Integrated Traditional and Western Medicine
关键词
阳痿
血管性
勃起功能障碍
Impotence
vasculogenic
Erectile dysfunction
