Mårtensson O, Duchek M
Department of Diagnostic Radiology, University Hospital of Umeå, Sweden.
Scand J Urol Nephrol. 1994 Mar;28(1):101-4. doi: 10.3109/00365599409180480.
Urethral diverticulum in female can be easy to detect by physical examination but sometimes the diagnosis can be difficult. The classical radiographic diagnosis has traditionally been based on urethrography. Ultrasonographic approach is gaining more acceptance for the diagnosis of female diverticula. Transabdominal (1977), transrectal, transperineal and transvaginal techniques were described earlier. We here present a new and improved technique: i.e. the translabial ultrasonographic approach in combination with pulsed colour-doppler examination. An endovaginal 5 MHz probe was used. The transducer was placed directly against labia minora and the urethral orifice. The character of the diverticula and it's spatial relationship to the urethra could be described in 5 women. There was no need for other radiological examination preoperatively. The advantages of translabial sonographic technique are absence of ionizing radiation, reduced risk of infection, noninvasivity and comfortability. It is also a quick and reliable technique.
女性尿道憩室通过体格检查可能易于发现，但有时诊断可能困难。传统的经典影像学诊断一直基于尿道造影。超声检查方法在女性憩室诊断中越来越被接受。较早前已描述了经腹（1977年）、经直肠、经会阴和经阴道技术。我们在此介绍一种新的改良技术：即经阴唇超声检查方法结合脉冲彩色多普勒检查。使用了一个经阴道5兆赫探头。将换能器直接置于小阴唇和尿道口处。可以描述5名女性憩室的特征及其与尿道的空间关系。术前无需进行其他放射学检查。经阴唇超声技术的优点是无电离辐射、感染风险降低、无创且舒适。它也是一种快速可靠的技术。
