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超声在尿道狭窄疾病评估中的应用:一项对175例患者的前瞻性研究

Ultrasound in the evaluation of urethral stricture disease: a prospective study in 175 patients.

作者信息

Heidenreich A, Derschum W, Bonfig R, Wilbert D M

机构信息

Urologische Universitätsklinik Tübingen, Germany.

出版信息

Br J Urol. 1994 Jul;74(1):93-8. doi: 10.1111/j.1464-410x.1994.tb16553.x.

DOI:10.1111/j.1464-410x.1994.tb16553.x
PMID:8044532
Abstract

OBJECTIVE

To investigate the characteristic ultrasonic appearance of urethral stricture disease in men.

PATIENTS AND METHODS

Between 1990 and 1992 a prospective study in 175 men with the suspicion of urethral stricture was performed using urethral ultrasound as the first diagnostic procedure, followed by retrograde urethrography, voiding cystourethrography or urethroscopy.

RESULTS

The sensitivity and specificity in detecting urethral strictures were 98% and 96% respectively. Ultrasound offers a three-dimensional study in the evaluation of the urethra without exposing the gonads to ionizing radiation. The exact length and depth of the stricture, the severity of the strictured segment as well as the anatomy of the periurethral scars were diagnosed accurately.

CONCLUSION

Ultrasound is a simple, inexpensive and rapid investigation of the urethra which requires no exposure of the patient to ionizing radiation and should be the preferred diagnostic procedure in the evaluation of strictures in the anterior urethra in men.

摘要

目的

探讨男性尿道狭窄疾病的超声特征表现。

患者与方法

1990年至1992年间,对175例疑似尿道狭窄的男性患者进行了一项前瞻性研究,将尿道超声作为首要诊断方法,随后进行逆行尿道造影、排尿性膀胱尿道造影或尿道镜检查。

结果

检测尿道狭窄的敏感性和特异性分别为98%和96%。超声在评估尿道时可进行三维研究,且不会使性腺暴露于电离辐射。能准确诊断狭窄的确切长度和深度、狭窄段的严重程度以及尿道周围瘢痕的解剖结构。

结论

超声是一种简单、廉价且快速的尿道检查方法,无需患者暴露于电离辐射,应作为评估男性前尿道狭窄的首选诊断方法。

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