超声造影技术在静脉性勃起功能障碍诊断中的应用
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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。
Objective: To investigate the effect and safety of contrast-enhanced ultrasonography(CEUS) in the diagnosis of venous erectile dysfunction( VED). Methods: From June 2015 to March 2016,43 ED patients underwent corpus cavernography,of whom 23 were diagnosed with and the other 20 without corpus cavernosal venous leakage( CCVL). All the patients received intracorporal injection of a vasoactive drug and CEUS. Results: Of the 23 patients with CCVL,21 were confirmed by CEUS,including 12 cases of double venous leakage,2 cases of single venous leakage,5 cases of crural venous leakage,and 2 cases of the mixed type,while the other 2 showed no CCVL on CEUS. Of the 20 patients with CCVL,2 presented CCVL on CEUS. Conclusion: CEUS has the advantages of accuracy,safety,and less invasiveness in the diagnosis of VED.
Objective: To investigate the effect and safety of contrast-enhanced ultrasonography(CEUS) in the diagnosis of venous erectile dysfunction( VED). Methods: From June 2015 to March 2016,43 ED patients underwent corpus cavernography,of whom 23 were diagnosed with and the other 20 without corpus cavernosal venous leakage( CCVL). All the patients received intracorporal injection of a vasoactive drug and CEUS. Results: Of the 23 patients with CCVL,21 were confirmed by CEUS,including 12 cases of double venous leakage,2 cases of single venous leakage,5 cases of crural venous leakage,and 2 cases of the mixed type,while the other 2 showed no CCVL on CEUS. Of the 20 patients with CCVL,2 presented CCVL on CEUS. Conclusion: CEUS has the advantages of accuracy,safety,and less invasiveness in the diagnosis of VED.
引文
[1]宋涛,陈赟,韩友峰,等.阴茎海绵体动态测压及造影的检查流程和临床应用.中华男科学杂志,2015,21(6):504-509.
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[3]Safarinejad MR,Hosseini S.Erectile dysfunction:Clinical guidelines.Urol J,2004,1(3):133-147.
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[7]Ford PL.Dynamic infusion cavernosometry and cavernosography.Urol Nurs,2000,20(4):239-240.
[8]Patel DV,Halls J,Patel U,et al.Investigation of erectile dysfunction.Br J Radiol,2012,85(Spet N01):S69-S78.
[9]Breza J,Aboseif SR,Orvis BR,et al.Detailed anatomy of penile neurovascular structures:Surgical significance.J Urol,1989,141(2):427-443.
[10]Lue TF,Takamura T,Schmidt BA,et al.Hemodynamics of erection in the monkey.J Urol,1983,130(6):1237-1244.
[11]Hsu GL,Hung YP,Tsai MH,et al.Penile veins are the orincipal component in erectile rigidity:A study of penile venous stripping on defrosted human cadavers.J Androl,2012,33(6):1176-1185.
[12]Sikka SC,Hellstrom WJ,Brock G,et al.Standardization of vascular assessment of erectile dysfunction:Standard operating procedures for duplex ultrasound.J Sex Med,2013,10(1):120-129.
[13]Lue TF,Hricak H,Marrh KW,et al.Vasculogenic impotence evaluated by high-resolution ultrasonography and pulsed Doppler spectrum analysis.Radiology,1985,155(3);777-781.
[14]邓京平,白文俊,毛迅.血管性勃起功能障碍患者阴茎血流动力学的变化.中国男科学杂志,2005,19(2):42-44.
[15]Furst G,Muller Mattheis V,Cohnen M,et al.Venous in competence in erectile dysfunction:Evaluation with color-coded duplex sonography and cavernosometry/-graphy.Eur Rodiol,1999:9(1):35-41.
[16]Gramiak R,Shah PM.Echocardiography of the aortic root.Invest Radiol,1968,3(5):356-366.
[2]Bassiouny HS,Levine LA.Penile duplex sonography in the diagnosis of venogenic impotence.J Vase Surg,1991,13(1):75-82.
[3]Safarinejad MR,Hosseini S.Erectile dysfunction:Clinical guidelines.Urol J,2004,1(3):133-147.
[4]Hatzimouratidis K,Amar E,Eardley I,et al.Guidelines on male sexual dysfunction:Erectile dysfunction and premature ejaculation.Eur Urol,2010.57(5):804-814.
[5]Alber Ben M,Shindel AW,Lue TF.Sexual dysfunction in the older men.Rev Clin Gerontol,2009,19:bl-8.
[6]Hackett G,Kell P,Ralph D,et al.British Society for Sexual Medicine guidelines on the management of erectile dysfunction.J Sex Med,2008,5(8):1841-1865.
[7]Ford PL.Dynamic infusion cavernosometry and cavernosography.Urol Nurs,2000,20(4):239-240.
[8]Patel DV,Halls J,Patel U,et al.Investigation of erectile dysfunction.Br J Radiol,2012,85(Spet N01):S69-S78.
[9]Breza J,Aboseif SR,Orvis BR,et al.Detailed anatomy of penile neurovascular structures:Surgical significance.J Urol,1989,141(2):427-443.
[10]Lue TF,Takamura T,Schmidt BA,et al.Hemodynamics of erection in the monkey.J Urol,1983,130(6):1237-1244.
[11]Hsu GL,Hung YP,Tsai MH,et al.Penile veins are the orincipal component in erectile rigidity:A study of penile venous stripping on defrosted human cadavers.J Androl,2012,33(6):1176-1185.
[12]Sikka SC,Hellstrom WJ,Brock G,et al.Standardization of vascular assessment of erectile dysfunction:Standard operating procedures for duplex ultrasound.J Sex Med,2013,10(1):120-129.
[13]Lue TF,Hricak H,Marrh KW,et al.Vasculogenic impotence evaluated by high-resolution ultrasonography and pulsed Doppler spectrum analysis.Radiology,1985,155(3);777-781.
[14]邓京平,白文俊,毛迅.血管性勃起功能障碍患者阴茎血流动力学的变化.中国男科学杂志,2005,19(2):42-44.
[15]Furst G,Muller Mattheis V,Cohnen M,et al.Venous in competence in erectile dysfunction:Evaluation with color-coded duplex sonography and cavernosometry/-graphy.Eur Rodiol,1999:9(1):35-41.
[16]Gramiak R,Shah PM.Echocardiography of the aortic root.Invest Radiol,1968,3(5):356-366.