64排CT阴茎海绵体造影在诊断静脉性阴茎勃起功能障碍中的价值

Value of 64-row CT cavernosography in the diagnosis of venous erectile dysfunction of penis

目的:探讨CT海绵体造影在诊断静脉性阴茎勃起功能障碍(ED)中的价值。方法:本院69位被诊断为器质性ED并怀疑存在静脉漏的患者,进行CT海绵体造影,明确是否存在静脉性ED。结果:CT阴茎海绵体造影扫描快速,总共扫描时间1分钟,患者阴茎无须变动方位,三维成像清晰。总共69例CT海绵体造影患者,其中正常3例,背浅静脉漏1例,背深静脉漏34例,脚静脉漏1例,混合型静脉漏30例。其中29例患者因保守治疗无明显效果,遂行手术治疗。行背深静脉结扎术20例,行背浅及背深静脉结扎术9例。术后随访6~12月,其中行背深静脉结扎术的20例患者中,7例勃起功能恢复正常,7例勃起功能改善。行背浅及背深静脉结扎术的9例患者中,4例勃起功能恢复正常者,2例勃起功能改善。结论:CT海绵体造影扫描快速、三维成像清晰、诊断准确,并能准确的指导临床治疗。

Objective：To study the value of CT cavernosography in the diagnosis of venous erectile dysfunction（VED）of penis.Methods：69 patients with organic ED suspected with venous leakage underwent CT cavernosography to clarify whether VED was existed.Results：The scanning time of CT cavernosography was short,only one min was needed,it was not necessary to change the position of penis,the 3 Dimages were clear.The results of the 69 patients undertaken CT cavernosography included no venous leakage（3 patients）,dorsal superficial venous leakage（1 patient）,dorsal deep venous leakage（34 patients）,ventral venous leakage（1 patient）,and mixed venous leakage（30 patients）.29 patients who had no response to conservative medical treatment undertook surgery,with dorsal deep penile vein ligation（20 patients）,dorsal deep penile vein and dorsal superficial penile vein ligation（9 patients）.These 29 patients were followed up for 6-12 months after surgery.Of the 20 patients with dorsal deep penile vein ligation,7 patients acquired normal erectile function and 7 patients had improvement of function.Of the 9 patients with dorsal deep penile vein and dorsal superficial penile vein ligation,4 patients acquired normal erection function,2 patients achieved obvious erectile function improvement.Conclusion：CT cavernosography needs a short operation time,showing clear 3 Dimages,which could provide accurate diagnosis and guidance of treatment in patients with VED.