33例阴茎海绵体灌注性造影临床影像分析

Clinical and Imaging Evaluation of 33 Cases of Cavernosography

目的探讨海绵体灌注性造影术的最佳方法,为临床提供可靠的诊断依据,全面分析静脉漏的X线表现,提高阴茎海绵体造影术的临床实用价值。方法对33例勃起功能障碍患者,应用罂粟碱海绵体内注射,人工诱导勃起后进行海绵体灌注性造影,在电视监测下摄片或录像。结果33例勃起功能障碍患者中有静脉漏23例,占69.70%,表现为5种类型:(1)阴茎背深静脉漏7例;(2)阴茎背浅静脉漏2例;(3)脚静脉漏4例;(4)远端静脉漏2例;(5)混合漏8例。阴茎海绵体灌注性造影出现并发症7例,占21.21%。结论正确掌握海绵体灌注性造影操作技术,熟悉正常X线表现及异常静脉引流对临床诊断与治疗密切相关。

Objective To study the optimal method of cavernosography and x - ray manifestations of venous impotence. Methods. Cavernosography were used in 33 patients with erectile dysfunction. Results There were 23 patients with venous fistula. According to the imagine, 5 types were classified. 1 ） deep venous fistula in the back of penis （7 cases） ; 2） superficial venous fistula in the back of penis （2cases） ; 3） venous fistula of legs （4 cases） ; 4） remote venous fistula （2cases） ; 5） mixture type （8 cases） ; 6） In addition, there were 7 cases （21.21%） with complication or side effects. Conclusion It＇s important to master technical skills of cavernosography as well as its x - ray manifestations for diagnosis of erectile dysfunction.