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尿道膀胱造影在脊髓损伤患者检查中的价值。

The value of urethrocystography in the investigation of patients with spinal cord injury.

作者信息

Ruutu M, Kivisaari A, Lehtonen T

出版信息

Clin Radiol. 1984 Nov;35(6):485-9. doi: 10.1016/s0009-9260(84)80066-5.

DOI:10.1016/s0009-9260(84)80066-5
PMID:6499390
Abstract

In a review of 127 urethrocystograms carried out on 92 males with spinal cord injury the following conclusions were drawn. (1) In the presence of vesico-ureteric reflux or urethral reflux into the male adnexa, bladder outlet obstruction should be suspected. (2) Lesions of the anterior urethra develop easily as the result of indwelling catheterisation in patients lacking sensation. A retrograde urethrogram is necessary to demonstrate these lesions. (3) Severe trabeculation of the bladder wall can be a sign of high-pressure outlet obstruction. (4) Dilatation of the bladder neck in patients with detrusor sphincter dyssynergia may lead to total urinary incontinence after sphincterotomy. (5) Urethrocystography is not a valid investigation to detect bladder stones.

摘要

在对92名脊髓损伤男性患者进行的127次尿道膀胱造影检查回顾中,得出了以下结论。(1)若存在膀胱输尿管反流或尿道反流至男性附属腺,则应怀疑膀胱出口梗阻。(2)在缺乏感觉的患者中,留置导尿易导致前尿道病变。需要进行逆行尿道造影来显示这些病变。(3)膀胱壁严重小梁化可能是高压性出口梗阻的征象。(4)逼尿肌括约肌协同失调患者的膀胱颈扩张,可能在括约肌切开术后导致完全性尿失禁。(5)尿道膀胱造影并非检测膀胱结石的有效检查方法。

相似文献

1
The value of urethrocystography in the investigation of patients with spinal cord injury.尿道膀胱造影在脊髓损伤患者检查中的价值。
Clin Radiol. 1984 Nov;35(6):485-9. doi: 10.1016/s0009-9260(84)80066-5.
2
[Urethrocystography].
Helv Chir Acta. 1970 Aug;37(4):443-7.
3
Dilatation of the resting posterior urethra in spinal cord injury patients.脊髓损伤患者静息状态下后尿道扩张
Paraplegia. 1979 Sep;17(3):378-83. doi: 10.1038/sc.1979.72.
4
Cysto-urethrographic appearance of the bladder and posterior urethra in neuromuscular disorders of the lower urinary tract.下尿路神经肌肉疾病中膀胱及后尿道的膀胱尿道造影表现
Scand J Urol Nephrol. 1982;16(2):115-24. doi: 10.3109/00365598209179739.
5
[Retrograde infusion urethrocystography in boys].
Monatsschr Kinderheilkd. 1983 Aug;131(8):516-9.
6
Transrectal ultrasonography compared with voiding cystourethrography after spinal cord injury.脊髓损伤后经直肠超声检查与排尿性膀胱尿道造影的比较。
Br J Urol. 1987 Mar;59(3):218-21. doi: 10.1111/j.1464-410x.1987.tb04608.x.
7
Evaluation of the urethra in males with spinal cord injury.脊髓损伤男性患者尿道的评估
Radiology. 1982 Jan;142(1):71-6. doi: 10.1148/radiology.142.1.7053552.
8
Is urethrocystography necessary?尿道膀胱造影有必要吗?
Curr Opin Radiol. 1989 Oct;1(3):293-6.
9
Maximum-distention retrograde urethrocystography in healthy male dogs: occurrence of vesicoureteral reflux.
Am J Vet Res. 1984 May;45(5):953-4.
10
[Significance of urethro-cystography in the diagnosis of urogenital tuberculosis].
Radiologe. 1969 Oct;9(10):356-62.

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