超声在阴茎背浅静脉血栓性静脉炎诊断中的价值

Value of sonography in diagnosis of thrombophlebitis in superficial dorsal vein of penis

目的观察阴茎背浅静脉血栓性静脉炎患者的声像图表现,探讨超声在该病诊断中的价值。方法回顾性分析19例临床诊断的阴茎背浅静脉血栓性静脉炎患者的声像图表现及临床资料。结果患者阴茎背浅静脉内径增宽,与健康志愿者比较,差异有统计学意义(P<0.01)。管腔内均可探及低回声,呈条状、树枝状、半环状及环状,不能探及彩色血流信号。发生部位以根部常见(63.2%,12/19),冠状沟次之(26.3%,5/19),左、右侧发生率差异无统计学意义(P>0.05)。结论超声检查阴茎背静脉切实可行,能准确确定阴茎背浅静脉内血栓形成,从而准确地诊断阴茎背浅静脉血栓性静脉炎。

Objective To summarize ultrasonograph changes and to investigate the diagnositic value of ultrasonography in patients with thrombophlebitis in superficial dorsal vein of penis.Methods The ultrasonograph finding and clinical data in 19 patients with thrombophlebitis in superficial dorsal veins of penis diagnosed by clinic were retrospective analyed.Results Compared with normal volunteers,the internal diameter of patients′venae dorsales penis superficiales were significantly widened（P〈0.01）.Low level echoes were found in superficial dorsal vein of penis and showed strip,arborization,semiring and circular shape.It mainly happened in root segment（63.2%,12/19）,and coronary sulcus was the second one（26.3%,5/19）.There were no significant difference in left and right side（P〉0.05）.Conclusion Ultrasonograph was a practicable way to examine dorsal veins of penis and an effective way for the diagnosis of thrombosis,which could accurately diagnose thrombophlebitis in superficial dorsal veins of penis.