超声诊断阴茎部假性动脉瘤的价值分析  

Diagnostic value of ultrasonography in penis pseudoaneurysm

作　　者：刘春乘[1] 黄景[1] 张梅[1] 周琛云[1] 何英[1] 文晓蓉[1] LIU Chuncheng;HUANG Jing;ZHANG Mei;ZHOU Chenyun;HE Ying;WEN Xiaorong(Department of Ultrasound,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院超声科

出　　处：《临床超声医学杂志》2019年第6期458-460,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的分析阴茎部假性动脉瘤的声像图特征,探讨超声对其的诊断价值。方法选取经临床证实的阴茎部假性动脉瘤患者6例,应用二维超声于横切面和纵切面观察损伤部位,测量瘤体大小、破口大小、通道长度;彩色多普勒观察瘤体内部回声及血流信号;评估有无海绵体损伤及血肿等并发症。结果6例阴茎部假性动脉瘤瘤体大小8 mm×5 mm×7 mm^40 mm×24 mm×25 mm,二维超声示瘤体内见无回声区;彩色多普勒示瘤腔内血流呈红蓝相间的漩涡状或涡流状血流信号;脉冲多普勒于破口处探及双期双向血流频谱。其中2例合并左侧阴茎海绵体断裂,1例合并血肿形成。2例患者未行治疗自行出院,4例患者采取保守治疗,超声随访均见瘤腔内血栓形成,后期血肿完全吸收。结论阴茎部假性动脉瘤的声像图表现具有一定特征性,超声可作为其诊断及随访观察的首选检查方法。Objective To analyze the sonographic features of the penis pseudoaneurysm,and to explore the diagnostic value of ultrasonography. Methods Six cases of penis pseudoaneurysm clinically confirmed were enrolled.Twodimensional ultrasound was done in a transverse and longitudinal section,the size,the size of the tear in the artery ,the length of the channel of pseudoaneurysm were measured. Then color Doppler ultrasound was used to reveal the internal echo and blood flow signal of aneurysm.The complications such as cavernous injury and hematoma were evaluated. Results Among 6 patients with penis pseudoaneurysm,the size of tumor was 8 mm×5 mm×7 mm^40 mm×24 mm×25 mm.The two-dimensional ultrasound revealed the pseudoaneurysm showed anechoic.Color Doppler ultrasound showed the blood flow was red and blue swirls or swirling flow signal in the sac. Pulsed Doppler ultrasound disclosed biphasic and bidirectional flow spectrum. Among them, 2 cases were complicated with left penile fracture,1 cases with hematoma.Two patients were discharged without treatment, 4 patients accepted conservative treatment and were found thrombus in the sac of the pseudoaneurysm after long-term follow-up. Conclusion The sonogram of penis pseudoaneurysm has specificity,ultrasound can be used as the first choice for clinical treatment and follow-up.

关 键 词：超声检查 阴茎 假性动脉瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.3[医药卫生—诊断学]