摘要
目的探讨急性阴茎海绵体破裂的超声声像图特点及其相关血管动力学参数的改变。方法回顾性分析22例急性阴茎海绵体破裂患者的临床资料及彩色多普勒超声声像图特点。结果 22例患者年龄18～68岁,平均年龄39岁。闭合性阴茎海绵体破裂11例,其中单纯单侧阴茎海绵体破裂8例,单侧阴茎海绵体破裂合并Buck筋膜破裂2例,双侧阴茎海绵体破裂合并尿道断裂1例。开放性阴茎海绵体破裂11例,其中单纯单侧阴茎海绵体破裂5例,单侧阴茎海绵体破裂合并尿道断裂1例,双侧阴茎海绵体破裂合并其他复合性损伤5例。探及破裂口的位置:阴茎海绵体单一破裂口位于阴茎远侧1/3部位12例,阴茎海绵体单一破裂口位于阴茎近侧5例,阴茎海绵体有多处破裂口的有5例。探及海绵体裂开的形状:基本为横形的有16例,斜形或其他复杂形的有6例。以上所有患者均在受伤后4～12h内进行手术治疗,术中探查结果与彩超检查基本一致。结论彩色多普勒超声检查简便、迅速、安全、准确率高,可以有效指导手术方式方法的选择,因此是本病的首选检查诊断方法。
Objective To analyze the ultrasonographic characteristics of acute rupture of corpus cavernosum penis and changes of its hemodynamic parameters. Methods Clinical data and Color Doppler sonographic features of 22 cases of acute rupture of corpus cavernosum penis were retrospectively summarized. Results The average age of 22 patients was 39 years old. Of them, 11 cases were diagnosed as closed rupture of corpus cavernosum penis including 8 cases with unilateral rupture of corpus cavernosum penis, 2 cases with unilateral rupture of corpus cavernosum penis and Buck membrane rupture, and 1 case with bilateral rupture of corpus cavernosum penis and urethral rupture; 11 cases were diagnosed as open rupture of corpus cavernosum penis including 5 cases with simple unilateral rupture of corpus cavernosum, 1 case with unilateral rupture of corpus cavernosum penis and Urethral rupture and 5 cases with bilateral rupture of corpus cavernosum penis and other complex injury; The position of the broken mouth was explored, 12 cases had a single broken mouth located in the upper 1/3 parts of corpus cavernosum penis, 5 cases had a single proximal broken mouth of corpus cavernosum penis, and 5 cases had the multiple broken mouth of corpus cavernosum penis; The shape of broken mouth in the corpus cavernosum penis was explored; 16 cases showed transverse, 6 cases oblique-shaped or the other complex shape. The surgical treatment were performed in 4-12h after patients were injured, intraoperative exploration results were basically consistent with the result of color Doppler ultrasound examination. Conclusion Color Doppler ultrasonography is simple, rapid, safe and high accuracy, which can effectively guide the choice of surgical method. It might be a better diagnosis method for acute rupture of corpus cavernosum penis.
出处
《中国男科学杂志》
CAS
CSCD
2010年第5期40-42,48,共4页
Chinese Journal of Andrology
