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[尿道管创伤性损伤患者阴茎海绵体的变化]

[Changes in the corpora cavernosa penis in patients with a traumatic lesion of the urethral canal].

作者信息

Karpenko V S, Gorpinchenko I I, Pershchukov A I

出版信息

Urol Nefrol (Mosk). 1993 May-Jun(3):36-8.

PMID:7941160
Abstract

Contrast investigations of corpus cavernosum penis (CCP) have been performed in 42 patients with urethral traumas. A hip-bone fracture and urethral injury were associated with CCP rupture in 76% of the cases. Sexual dysfunction was registered in all the patients, a complete erectile failure occurred in 57.2% of them. Indications to and an original technique of cavernosography are described. 32 patients developed venous blood CCP outflow 8 ones fibrous replacement of the cavernous tissue staged by x-ray examination as stage I and II. Static cavernosography is able to effectively determine changes in the cavernous tissue resultant from urethral trauma, disorders in the CCP venous outflow, a degree of morphological abnormalities in the cavernous tissue and, consequently, should become a mandatory examination for such patients, especially before endophalloplasty.

摘要

对42例尿道外伤患者进行了阴茎海绵体造影检查。76%的病例中,髋骨骨折和尿道损伤与阴茎海绵体破裂有关。所有患者均出现性功能障碍,其中57.2%发生完全性勃起功能障碍。描述了海绵体造影的指征和一种原始技术。32例患者出现阴茎海绵体静脉血流出,8例经X线检查显示海绵体组织纤维替代处于I期和II期。静态海绵体造影能够有效确定尿道外伤导致的海绵体组织变化、阴茎海绵体静脉流出障碍、海绵体组织形态异常程度,因此,对于此类患者,尤其是在内阴茎成形术前,应成为一项必要检查。

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