Aboseif S R, Breza J, Lue T F, Tanagho E A
Department of Urology, University of California School of Medicine, San Francisco.
Br J Urol. 1989 Aug;64(2):183-90. doi: 10.1111/j.1464-410x.1989.tb05985.x.
To elucidate further the penile venous anatomy and its role in the haemodynamics of erection, we performed pharmacological cavernometry and cavernography in 95 patients with venogenic impotence and in 12 patients with psychogenic impotence. The findings were correlated with those of dissection in 10 adult male cadavers. Cavernography confirmed that the main venous drainage of the corpora cavernosa is via the cavernous veins, with additional drainage through the crural, circumflex and deep dorsal veins and demonstrated that, in patients with venogenic impotence, the cavernous veins are the common site of leakage. Cavernometry provided valuable parameters for the quantification of the degree of venous leakage. Detailed knowledge of the penile venous system and cavernometry and cavernography are essential for the proper diagnosis and treatment of patients with venogenic impotence.
为进一步阐明阴茎静脉解剖结构及其在勃起血流动力学中的作用,我们对95例静脉性阳痿患者和12例精神性阳痿患者进行了药物海绵体测压和海绵体造影。研究结果与10具成年男性尸体的解剖结果进行了对比。海绵体造影证实,海绵体的主要静脉引流途径是通过海绵体静脉,此外还有通过脚静脉、旋静脉和背深静脉的引流,并表明在静脉性阳痿患者中,海绵体静脉是常见的漏血部位。海绵体测压为量化静脉漏血程度提供了有价值的参数。深入了解阴茎静脉系统以及海绵体测压和海绵体造影对于静脉性阳痿患者的正确诊断和治疗至关重要。