超声造影技术在静脉性勃起功能障碍诊断中的应用

发布时间：2018-10-24 16:43

【摘要】：目的:探讨超声造影技术用于静脉性ED诊断的有效性及安全性。方法:2015年6月至2016年3月在南京鼓楼医院泌尿男科通过阴茎海绵体造影确诊为阴茎海绵体静脉漏患者23例、无阴茎海绵体静脉漏患者20例,43例患者行阴茎海绵体活性药物注射+超声造影检查。结果:23例阴茎海绵体静脉漏患者中21例在超声造影过程中显示明显静脉漏,准确率为91.3%;其中双静脉漏型12例,单静脉漏型2例,阴茎脚静脉漏型5例,海绵体混合型静脉漏2例。2例超声造影未见静脉漏,与阴茎海绵体造影结果不相符。20例无阴茎海绵体静脉漏患者2例超声造影见静脉漏,与阴茎海绵体造影结果不相符。结论:超声造影技术诊断静脉性ED具有一定准确性;超声造影技术用于静脉性ED的诊断具有创伤小,安全性高等优点。
[Abstract]:Objective: to evaluate the efficacy and safety of contrast-enhanced ultrasonography in the diagnosis of venous ED. Methods: from June 2015 to March 2016, 23 patients with cavernous venous leakage were diagnosed in Department of Urology, Gulou Hospital, Nanjing, China. Twenty patients without venous leakage of cavernous body and 43 patients were examined by contrast-enhanced injection of active drugs into corpus cavernosum. Results: among the 23 cases of cavernous venous leakage of penis, 21 cases showed obvious venous leakage during contrast-enhanced ultrasonography, the accuracy was 91.3%, including 12 cases of double venous leakage type, 2 cases of single vein leakage type, 5 cases of penile foot venous leakage type. There were 2 cases of mixed venous leakage in cavernous body, 2 cases were not found venous leakage by contrast-enhanced contrast echocardiography, and 2 cases without venous leakage of cavernous body in 20 cases, which were not consistent with the result of cavernous body angiography. Conclusion: contrast-enhanced ultrasonography is accurate in the diagnosis of venous ED, and it has the advantages of less trauma and higher safety in the diagnosis of venous ED.
【作者单位】：南京大学医学院附属南京鼓楼医院泌尿男科;南京大学医学院附属南京鼓楼医院超声诊断科;
【基金】：国家自然科学基金资助(81571430)~~
【分类号】：R698

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