在8例尸体阴茎静脉解剖研究基础上,对70例阳萎患者作动态阴茎海绵体造影,发现静脉漏52例,均为罌粟碱试验阴性者。18例阳性者无静脉漏。依漏出部位及流向将静脉性阳萎分为五型。32例经手术证实了诊断。我们认为该分型方法比较客观地反映出造影征象与静脉漏解剖部位间的对应关系,有助于静脉性阳萎的诊断及手术途径的选择。并提出罌粟碱试验(一)应是选择阴茎海绵体造影的重要指征。 On the basis of 8 cases of penile vein anatomy, 70 cases of impotence patients underwent dynamic penile cavernous angiography, and 52 cases of venous leakage were found, both of which were negative for papaverine test. 18 cases of positive venous no leakage. According to the leakage site and the flow of venous impotence is divided into five types. 32 cases confirmed by surgery diagnosis. We think that this classification method objectively reflects the corresponding relationship between the contrast imaging signs and the anatomic site of venous drainage, which is helpful for the diagnosis of venous impotence and the choice of surgical approach. And proposed papaverine test (a) should be an important indication of the choice of penile cavernous angiography.