高频超声在闭合性阴茎海绵体破裂诊断中的应用  

Application of high frequency ultrasound in the diagnosis of closed penile cavernous rupture

作　　者：商功群 余铖[1] 李玉曼[1] 谢明星[1] 王静[1] 张丽[1] 项飞翔[1] Shang Gongqun;Yu Cheng;Li Yuman;Xie Mingxing;Wang Jing;Zhang Li;Xiang Feixiang(Department of Ultrasound Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Clinical Research Center for Medical Imaging in Hubei Province,Hubei Province Key Laboratory of Molecular Imaging,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院超声医学科,湖北省影像医学临床医学研究中心,分子影像湖北省重点实验室,武汉430022

出　　处：《中国医师杂志》2022年第9期1294-1297,共4页Journal of Chinese Physician

基　　金：国家自然科学基金(81727805)。

摘　　要：目的探讨高频超声对闭合性阴茎海绵体破裂的诊断价值。方法回顾性分析华中科技大学同济医学院附属协和医院2016年8月至2021年5月收治的8例闭合性阴茎海绵体破裂患者的超声检查资料,分析其高频超声图像特征。结果8例闭合性阴茎海绵体破裂患者中,6例位于阴茎海绵体远端,1例位于阴茎海绵体中部,1例位于阴茎海绵体近端,均为单侧阴茎海绵体破裂,左侧3例,右侧5例。8例均见阴茎海绵体白膜连续中断,断端可清晰显示,白膜破口最大者16.1 mm,最小者2.1 mm。阴茎海绵体白膜断裂处周围血肿形成,血肿范围7.9 mm×5.6 mm~40.3 mm×15.4 mm。结论高频超声检查方便、迅速、准确率高,可作为闭合性阴茎海绵体破裂首选的辅助检查。Objective To explore the diagnostic value of high frequency ultrasound in the diagnosis of closed penile cavernous rupture.Methods The ultrasonic examination data of 8 patients with closed penile cavernous rupture treated in Union Medical College Affiliated to Tongji Medical College of Huazhong University of Science and Technology from August 2016 to May 2021 were retrospectively analyzed,and the high-frequency ultrasonic image features were analyzed.Results Among the 8 patients with closed penile cavernous rupture,6 were located at the distal end of the corpus cavernosum,one was located at the middle of the corpus cavernosum,and one was located at the proximal end of the corpus cavernosum.All of them were unilateral penile cavernosum rupture,3 on the left side and 5 on the right side.In all 8 cases,the white membrane of the corpus cavernosum of the penis was continuously interrupted,and the broken end could be clearly displayed.The largest white membrane breach was 16.1 mm,and the smallest was 2.1 mm.Hematoma formed around the rupture of the tunica albuginea of the penis corpus cavernosum,and the maximum range of hematoma was 40.3 mm×15.4 mm,the minimum range of hematoma was 7.9 mm×5.6 mm.Conclusions High frequency ultrasound is convenient,rapid and accurate,and can be used as the first choice of auxiliary examination for closed penile cavernous rupture.

关 键 词：阴茎疾病 海绵体破裂 高频超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R697.15[医药卫生—诊断学]