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体内注射罂粟碱后的非选择性血管造影:一种评估阴茎动脉完整性的替代技术。

Nonselective angiography after intracorporal papaverine injection: an alternative technique for evaluating penile arterial integrity.

作者信息

Schwartz A N, Freidenberg D, Harley J D

机构信息

Department of Radiology, Seattle Veterans Administration Medical Center, WA 98108.

出版信息

Radiology. 1988 Apr;167(1):249-53. doi: 10.1148/radiology.167.1.3347727.

Abstract

Forty patients with impotence were evaluated by means of nonselective angiography after intracorporal papaverine injection. The penile arterial network was visualized in 39 patients (97%). The technique was technically simple, and there were no complications. The most common sites of arterial disease were the arteries at the base of the penis (58%) and the internal pudendal artery (31%). In patients with advanced atherosclerotic disease, formation of collaterals within the penile arterial network appears to be important in maintaining flow to the cavernosal arteries. Asymmetry of arterial disease was frequently encountered (54%), indicating the importance of bilateral visualization of the arteries supplying the cavernosal arteries. Penile arteries were not visualized adequately in any of the patients studied nonselectively without intracorporal papaverine.

摘要

对40例阳痿患者在阴茎海绵体内注射罂粟碱后进行了非选择性血管造影评估。39例患者(97%)的阴茎动脉网络显影。该技术操作简单,且无并发症。动脉疾病最常见的部位是阴茎根部的动脉(58%)和阴部内动脉(31%)。在患有晚期动脉粥样硬化疾病的患者中,阴茎动脉网络内的侧支循环形成似乎对维持海绵体动脉的血流很重要。经常会遇到动脉疾病的不对称情况(54%),这表明对供应海绵体动脉的双侧动脉进行显影很重要。在未进行阴茎海绵体内罂粟碱注射而进行非选择性研究的任何患者中,阴茎动脉均未得到充分显影。

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Arterial anatomy and arteriographic diagnosis of arteriogenic impotence.
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