药物性阴茎海绵体造影诊断静脉性阳萎的临床价值

Clinical value of cavernosography in papaverine induced erection in the diagnosis of venous impotence

目的 :评价在基层开展药物性阴茎海绵体造影诊断静脉性阳萎的临床实用价值。方法 :筛选试验诊断为静脉性阳萎者 63例 ,加用罂粟碱行阴茎海绵体造影术 ,分析异常引流静脉显影的状况。结果 :61例有不同程度的异常引流静脉显影 ,根据X线静脉漏显影特点 ,将静脉漏分为 4型。其中Ⅰ型 30例 ,Ⅱ型 6例 ,Ⅲ型 2 0例 ,Ⅳ型 5例。结论 :罂栗碱试验是目前简单而有效的筛选试验 ,正确进行海绵体造影术 ,对手术方式的选择 ,提高手术成功率具有重要意义。

Objective:To assess the clinical value of cavernosography in papaverine induced erection in the diagnosis of venous impotence. Methods:61 of 63 cases with venous impotence diagnosed by screening tests with intravenous papaverine injection were subsequently carried out cavernosography.According to the X ray findings,venous impotence was classified into 4 types: type Ⅰ,deep dorsal venous leakage;type Ⅱ,crural venous leakage;type Ⅲ,distalvenous leakage;type IV,the mixed leakage.Results:Cavernosography documented type Ⅰ of 30 cases,type Ⅱ of 6 cases,type Ⅲ of 20 cases,and type IV of 5 cases.Conclusion:Intracavernous papaverine injection is still a simple and effective screening test for the detection of venous impotence while cavernosography shall also be performed in order to identify the passage of abnormal leakage. It is helpful to make a surgical planning and improve the successful rate of operation for the venous impotence.