阴茎海绵体动态测压及造影的检查流程和临床应用  

Dynamic infusion cavernosometry and cavernosography for the diagnosis and classification of venous erectile dysfunction

作　　者：宋涛[1,2] 陈赟[1] 韩友峰[1] 余文[1] 徐志鹏[1] 戴玉田[1] 

机构地区：[1]南京医科大学鼓楼临床医学院男科,江苏南京210008 [2]解放军454医院泌尿外科,江苏南京210002

出　　处：《中华男科学杂志》2015年第6期504-509,共6页National Journal of Andrology

基　　金：国家自然科学基金资助(81270694)~~

摘　　要：目的：探讨阴茎海绵体动态测压及造影（DICC）的操作流程及其在静脉型勃起功能障碍（VED）诊断中的价值。方法：临床行彩色多普勒超声检查筛选阴茎海绵体注射试验（ICI）阴性、高度怀疑VED的103例ED患者,对其进行DICC,对比观察检查结果维持灌注速度（FTM）和海绵体压力衰退值（PD）。结果：21例检查结果正常,其余VED患者根据其FTM和PD分为可疑静脉漏（5例）及轻度（39例）、中度（25例）、重度（13例）静脉漏;仅4例出现阴茎皮下血肿,3~5 d后均消失,无其他并发症发生。结论：DICC诊断VED微创、可靠、安全、可重复性高,可依据其检查结果将患者做进一步分类。Objective： To explore the procedures of dynamic infusion cavernosometry and cavernosography（DICC） and their application in the diagnosis and classification of venous erectile dysfunction（ VED）. Methods： This study included 103 ED patients,aged 20 to 43 years,highly suspected of VED,with disease courses of 4 months to 6 years. DICC was performed and analyses were made on the results,especially the parameters of flow-to-maintain（ FTM） and pressure decay（ PD） in the corpus cavernosum. Results： Based on the parameters of FTM and PD,21 of the patients were normal,5 were suspected of VED,39 had mild VED,25 had moderate VED,and 13 had severe VED. Penile subcutaneous hematoma was found in 4 of the patients,all recovered after 3 to 5 days,with no other complications. Conclusion： DICC is a reliable,safe and minimally invasive method for the diagnosis and classification of VED.

关 键 词：阴茎海绵体动态测压 阴茎海绵体造影 静脉型勃起功能障碍 检查流程 临床应用 

分 类 号：R698.1[医药卫生—泌尿科学]