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目的探讨双功能超声(DU)、阴部内动脉造影(IPA)在外伤动脉性勃起功能障碍诊断中的应用。方法7例骨盆骨折外伤引起阴茎动脉供血受损致勃起功能障碍患者进行DU和IPA检查。结果DU检查提示7例患者阴茎勃起动脉血液灌注血流动力学受到损害。IPA检查显示7例患者有阴茎动脉血供受损解剖形态学上的变化,包括阴部内动脉断裂、阴茎动脉主干断裂、阴茎动脉主干狭窄和髂总动脉假性动脉瘤病变。结论DU和IPA为阴茎动脉功能和解剖形态学“金标准”试验,DU提供了阴茎勃起动脉血供受损血流动力学改变的客观数据,而IPA显示了阴茎动脉受损解剖形态学上的变化,对损伤病变部位进行定位。对于外伤所致动脉性勃起功能障碍的患者首选DU检查。
Objective To investigate the application of dual-function ultrasonography (DU) and intravaginal arteriography (IPA) in the diagnosis of traumatic arterial erectile dysfunction. Methods Seven cases of pelvic fractures caused by penile artery injury caused by erectile dysfunction in patients with DU and IPA examination. Results The DU examination indicated that hemodynamics of penile erection were impaired in 7 patients. IPA examination revealed morphological changes in penile arterial blood supply in 7 patients, including rupture of the pudendal artery, rupture of the penile artery, stenosis of the penile artery, and lesions of the common iliac artery. Conclusions DU and IPA are “gold standard” trials of penile arterial function and anatomical morphology. DU provides objective data on hemodynamic changes in blood supply to the penile erectile artery, while IPA shows anatomical damage to the penile artery Change, locate the lesion site. For traumatic arterial erectile dysfunction in patients preferred DU examination.