CAJ | 학술논문

目的：探讨高频彩色多普勒超声在闭合性阴茎海绵体白膜破裂伤中的诊断价值。方法回顾分析、总结经临床证实的9例闭合性阴茎海绵体白膜破裂的二维及彩色多普勒血流显像特征。结果高频彩色多普勒超声对9例闭合性阴茎海绵体白膜破裂的诊断准确率达100%。其诊断主要以二维声像图特征为主：（1）阴茎海绵体表面白膜呈线状高回声连续性中断；（2）白膜破裂口一般发生于右侧海绵体，多见于阴茎近端1/3段；（3）合并海绵体损伤，损伤处见不均匀低回声。（4）阴茎皮下积液（血肿）。彩色多普勒血流显像未见动静脉瘘及假性动脉瘤，阴茎背动、静脉及海绵体动脉血流通畅。结论高频彩色多普勒超声对闭合性阴茎海绵体白膜破裂诊断明确，对白膜破裂中断的位置及海绵体损伤和血肿部位判断较准确，是闭合性阴茎海绵性白膜破裂伤的首选检查方法，可为临床治疗提供可靠信息。
목적：탐토고빈채색다보륵초성재폐합성음경해면체백막파렬상중적진단개치。방법회고분석、총결경림상증실적9례폐합성음경해면체백막파렬적이유급채색다보륵혈류현상특정。결과고빈채색다보륵초성대9례폐합성음경해면체백막파렬적진단준학솔체100%。기진단주요이이유성상도특정위주：（1）음경해면체표면백막정선상고회성련속성중단；（2）백막파렬구일반발생우우측해면체，다견우음경근단1/3단；（3）합병해면체손상，손상처견불균균저회성。（4）음경피하적액（혈종）。채색다보륵혈류현상미견동정맥루급가성동맥류，음경배동、정맥급해면체동맥혈류통창。결론고빈채색다보륵초성대폐합성음경해면체백막파렬진단명학，대백막파렬중단적위치급해면체손상화혈종부위판단교준학，시폐합성음경해면성백막파렬상적수선검사방법，가위림상치료제공가고신식。
Objective:To investigate the diagnostic value of high frequency color Doppler ultrasound rupture injury in closed corpus cavernosum penis albuginea. Methods:Retrospective analysis of two-dimensional and color Doppler flow imaging features,summarize 9 cases of clinically proven closed corpus cavernosum penis albuginea rupture. Results:Diag-nosis of high frequency color Doppler ultrasonography on 9 cases of closed rupture of albuginea penis accuracy rate is 100%. The diagnosis mainly with 2D sonogram:(1)tunica albuginea penis surface linear hyperechoic discontinuity;(2) rupture of albuginea export occurs in the corpus cavernosum penis right,found in the proximal 1/3 segment;(3)with sponge body damage,damage is not homogeneous low echo.(4)penile subcutaneous effusion(hematoma). Color Doppler flow imaging showed no arteriovenous fistula or pseudoaneurysm,dorsal penile move,vein and cavernous artery blood flow. Conclusions:High frequency color Doppler ultrasound in closed corpus cavernosum penis albuginea rupture of albuginea rupture interrupt clear diagnosis,location and cavernous injury and hematoma location accurate judgment,is the preferred method of examination of closed rupture of albuginea penis sponge,can provide reliable information for the clinical treat-ment of.