胡兵,周永昌,陈曾德,金三宝,徐佑璋,陈忠,陈磊,闻恽,黄慕民.创伤性尿道狭窄术后尿道超声研究:对排尿与尿道探杠导入出现矛盾现象的分析[J].中国医学影像技术,2000,16(5):339~340
创伤性尿道狭窄术后尿道超声研究:对排尿与尿道探杠导入出现矛盾现象的分析
A Study of Sonourethrography on Traumatogenic Urethral Strictures Postoperatively :Analysis on Contradictory Phenomena between Micturition and Trial Urethral Dilation
投稿时间:2000-03-29  
DOI:
中文关键词:  尿道超声显像  尿道狭窄  排尿困难  试探性尿道扩张  术后  尿道探杠
英文关键词:Sonourethrography  Urethral stricture  Dysuria  Trial urethral dilation  Postoperation  Urethral sound
基金项目:
作者单位
胡兵 上海市第六人民医院超声医学研究室,上海 200233 
周永昌 上海市第六人民医院超声医学研究室,上海 200233 
陈曾德 上海市第六人民医院泌尿外科,上海 200233 
金三宝 上海市第六人民医院超声医学研究室,上海 200233 
徐佑璋 上海市第六人民医院超声医学研究室,上海 200233 
陈忠 上海市第六人民医院超声医学研究室,上海 200233 
陈磊 上海市第六人民医院超声医学研究室,上海 200233 
闻恽 上海市第六人民医院超声医学研究室,上海 200233 
黄慕民 上海市第六人民医院超声医学研究室,上海 200233 
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中文摘要:
      目的 超声观察尿道术后排尿与尿道扩张术出现矛盾时的尿道形态学改变。方法 超声检测16 个病 例并监测尿道探杠导入。结果 术后出现的排尿与尿道扩张术之间存在两种情况可分为I 型和II 型,各有8 例。I 型声像图表现为尿道活瓣(5 例) 、假道(2 例) ,单侧疤痕(1 例) ; II 型声像图表现为吻合口囊状扩张和S 形弯曲,各4 例。结论 尿道超声显像可对术后排尿与尿道探杠导入出现的矛盾现象作出病因诊断,有助于临床作进一步的合 理处理。
英文摘要:
      Objective To investigate urethral pathological changes when micturition contradicted with trial urethral dilation postoperatively. OMethods Sixteen patients were performed by sonourethrography ,and which monitored urethral dilation. Results Urethral morphologic changes on sonogram were classified into two types according to micturition and trial urethral dilation Each type had 8 cases. Type I indicated that the urethral sound was introduced successfully when the patients had dysuria ; Type II indicated that the sound was introduced unsuccessfully when the patients had no abnormal voiding. Sonographic appearances in type I were flap valve (5 cases) ,false passage (2 cases) ,lateral scar on urethral wall at anastomatic site (1 case) ; Type II appeared cyst-like dilation and S-like curve at anastomatic site. Conclusion Sonourethrography can display pathological changes in urethra when micturition contradicts with trial urethral dilation postoperatively. It is helpful to manage further reasonably.
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