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阴茎骨折:彩色多普勒超声的价值

[Fracture of the penis: value of echo-Doppler-color].

作者信息

Catala Deniz L, Rapariz González M A, Valero Puerta J, Belon López-Tomasetti J A, Martínez de la Riva S I, Alemán Flores P

机构信息

Servicio de Radiodiagnóstico, Hospital Nuestra Señora del Pino, Las Palmas de Gran Canaria, España.

出版信息

Arch Esp Urol. 1998 Oct;51(8):831-4.

PMID:9859593
Abstract

OBJECTIVE

A case of traumatic rupture of the corpora cavernosa evaluated by color Doppler ultrasonography is presented.

METHODS

A 43-year-old male consulted for a large penile hematoma that had presented 16 hours earlier during sexual intercourse. The patient was evaluated by Doppler ultrasound using a 5 Mhz linear probe. The vascular integrity of the penis was demonstrated by color Doppler ultrasonography of the cavernous arteries and penile veins.

RESULTS

Disruption at the base of the right corpus cavernosum associated with a small hematoma appeared as adjacent hypoechoic images. The color Doppler ultrasonic evaluation demonstrated the integrity of the arteries and cavernous veins and no pulsation of the hematoma, indicating conservative management. Four months after the trauma, no changes in erectile function or penile deviation have been observed.

CONCLUSIONS

Color Doppler ultrasound is a useful diagnostic imaging technique in the assessment and follow-up of penile trauma.

摘要

目的

介绍一例通过彩色多普勒超声评估的海绵体创伤性破裂病例。

方法

一名43岁男性因性交时出现16小时前的巨大阴茎血肿前来咨询。使用5兆赫线性探头对患者进行多普勒超声检查。通过海绵体动脉和阴茎静脉的彩色多普勒超声检查显示阴茎的血管完整性。

结果

右侧海绵体基部中断并伴有小血肿,表现为相邻的低回声图像。彩色多普勒超声评估显示动脉和海绵体静脉完整,血肿无搏动,提示保守治疗。创伤后四个月,未观察到勃起功能或阴茎偏斜有变化。

结论

彩色多普勒超声是评估和随访阴茎创伤的一种有用的诊断成像技术。

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