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膀胱下梗阻成年男性排尿性膀胱尿道造影的尿道形态

Urethral patterns on micturition cystourethrography in adult males with subvesical obstruction.

作者信息

Manoliu R A

出版信息

Rofo. 1981 May;134(5):545-51. doi: 10.1055/s-2008-1056409.

DOI:10.1055/s-2008-1056409
PMID:6455355
Abstract

Reexamination of the micturition cystourethrograms in 289 adult male patients with subvesical obstruction proved that the cause of the narrowing can be accurately diagnosed on the pattern of the urethral lumen. The radiologic and the final urologic diagnoses coincided in 87.5 per cent of all cases. The narrowing localized to the bladder outlet associated with short supracollicular urethra correlated well with the urologic diagnosis of bladder neck contracture. In this group 37.9 per cent of the cases presented evidence for an inflammatory etiology. 19 per cent of the same group had patterns which resembled very much nodular hyperplasia. Other possible etiologies for the bladder neck contracture did not appear to produce characteristic patterns.

摘要

对289例成年男性膀胱下梗阻患者的排尿性膀胱尿道造影进行复查后发现,根据尿道管腔的形态能够准确诊断出狭窄的病因。在所有病例中,放射学诊断与最终的泌尿外科诊断相符率为87.5%。局限于膀胱出口且伴有短的膀胱上尿道的狭窄与膀胱颈挛缩的泌尿外科诊断高度相关。在这组病例中,37.9%有炎症病因的证据。同一组中有19%的病例表现出与结节状增生非常相似的形态。膀胱颈挛缩的其他可能病因似乎未产生特征性形态。

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