阴茎海绵体造影在静脉性勃起功能障碍中的应用(附92例报道)  

Clinical Value of Cavernosography in the Diagnosis of Venous Erectile Dysfunction (ED)

作　　者：樊龙昌[1] 刘继红[1] 王涛[1] 李忠远[1] 何俊文[1] 张滋洋[1] 李路[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院泌尿外科,武汉430030

出　　处：《放射学实践》2007年第9期950-952,共3页Radiologic Practice

摘　　要：目的:探讨阴茎海绵体造影(CG)对静脉性勃起功能障碍(ED)的诊断价值。方法:由临床筛选阴茎化学假体试验(ICI)阳性、高度怀疑静脉性ED的92例ED患者,年龄22～63岁,病程5个月～16年,对其进行阴茎海绵体造影,对比观察造影结果。结果:16例造影结果正常,考虑为心因性ED。而静脉漏性ED的X线表现分为4型:Ⅰ型:浅层静脉系显影9例(9.8%),包括阴部外静脉、大隐静脉、股静脉和髂外静脉显影;Ⅱ型:中层静脉系显影38例(41.3%),包括尿道海绵体、阴茎头、前列腺丛、膀胱下静脉、髂内静脉及阴茎背深静脉显影;Ⅲ型:深层静脉系显影10例(10.9%),包括阴茎深静脉、阴部内静脉显影;Ⅳ型:混合性静脉系显影19例(20.7%),为第Ⅰ、Ⅱ、Ⅲ型同时或其中两组显影。结论:CG是诊断静脉性ED的可靠方法,可准确显示静脉漏的部位,指导临床治疗。Objective：To assess the clinical value of cavernosography in intracavernous injection test （ICI） induced erection in the diagnosis of venous ED. Methods：92 cases with ED diagnosed by screening tests with ICI were subsequently performed cavernosography. According to the X-ray findings,venous ED was classified into 4 types：type I , superficial venous leakage; type Ⅱ , middle venous leakage; type Ⅲ, profundus venous leakage; type IV, the mixed leakage. Results： Cavernosography was normal in 16 cases, venous leakage was detected in 84 cases, including 9 cases of type I , 38 type Ⅱ , 10 type Ⅲ ,and 19 type IV. Conclusion：Cavernosography is a simple and effective screening test for the detection of venous ED,and identifying the abnormal leakage. It is helpful to clinical treatment.

关 键 词：阳瘘 诊断 计算机辅助 

分 类 号：R698.1[医药卫生—泌尿科学] R814.4[医药卫生—外科学]