Mühlbauer K, Brandstetter K, Gmeinwieser J, Schwarzer J U, Dörrler J
Institut für Röntgendiagnostik, Klinikum rechts der Isar der Technischen Universität München.
Bildgebung. 1991;58 Suppl 1:45-7.
Arteriography of penile arterial supply is of decisive importance in the diagnostic evaluation of arteriogenic impotence. Technique and results of penile arteriography by means of high-resolution DSA in 26 impotent men are reported. In comparison to direct serial angiography on large-scale films, high-resolution DSA with 1024(2)-matrix provides the advantages of reduced investigation-time and reduction of contrast media load. Additional detailed views in different projections can be easily obtained. In 15 of 26 patients (mean age 54.9 years) a total of 34 steno-occlusive vessel changes were found (57.7%). 65.4% showed anatomic variations. In all patients, DSA provided clear vascular diagnosis. Thus, additional large-scale serial filming never became necessary. Results are comparable to those reported by other authors. In conclusion, high-resolution DSA can completely replace large-scale serial angiography in the evaluation of penile arterial supply.
阴茎动脉造影对于动脉源性阳痿的诊断评估具有决定性意义。本文报道了对26例阳痿男性患者采用高分辨率数字减影血管造影（DSA）进行阴茎动脉造影的技术及结果。与在大尺寸胶片上进行的直接连续血管造影相比，采用1024（2）矩阵的高分辨率DSA具有缩短检查时间和减少造影剂负荷的优点。可以轻松获得不同投照角度的额外详细图像。在26例患者中的15例（平均年龄54.9岁）共发现34处血管狭窄闭塞性病变（57.7%）。65.4%表现出解剖变异。在所有患者中，DSA均能提供清晰的血管诊断。因此，无需进行额外的大尺寸连续拍片。结果与其他作者报道的结果相当。总之，在评估阴茎动脉供血方面，高分辨率DSA可完全取代大尺寸连续血管造影。
