阴茎海绵体X线电影造影术及其在诊断静脉性阳萎中的应用

Caverno-Roentgenocinematography in the Evaluation of Venogenic Impotence

使用X线电影造影术对140例临床疑静脉性阳萎病人进行检查。结果：精神性阳萎（造影正常）35例。另105例中，背深静脉漏34例，占32.4％；脚静脉漏17例，占16.2％；龟头尿道海绵体漏18例，占17.1％；阴茎背浅静脉漏4例，占3.8％；混和性静脉漏32例，占30.5％。我们认为罂粟碱注入试验是目前诊断静脉性阳萎的一种最佳筛选方法；阴茎海绵体静脉阻力测定可证实静脉漏的存在；摄影野应包全阴茎静脉系统，同时应多方位观察，以确定病变的部位。

Caverno-roentgenocinematography was pertormed to evaluate 140 cases of impotence,including 35 psychogenic and 105 venogenic patients. The latter was categorized into 5 groups according to the findings on cavernosogram: Group A: deep dorsal vein 34 (32.4%);group B: crural vein 17 (16.2%);group C: glans and spongiosa 18 (17.1 %)；group D:superficial dorsal vein 4 (3.8%);group E:Mixed form 32 (30.5%).We found that papaverine test was the most reliable screening method for the diagnosis of venogenic impotence.Venous leakage was determined based on quantitation of corporeal venous out flow resistance,but in order to confirm the location of abnormal leakage,cavernosography must be performed simultaneously.