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[尿道超声在评估病理性尿道改变中的价值]

[Value of urethral ultrasound in evaluation of pathologic urethral changes].

作者信息

Heidenreich A, Zumbé J, Vorreuther R, Klotz T, Braun M, Engelmann U H

机构信息

Urologische Klinik, Medizinische Einrichtungen, Universität zu Köln.

出版信息

Ultraschall Med. 1995 Dec;16(6):254-8. doi: 10.1055/s-2007-1003214.

DOI:10.1055/s-2007-1003214
PMID:8584904
Abstract

AIM

To compare the evaluation of urethral stricture disease using ultrasonic urethrography and standard retrograde urethrography (RUG).

METHOD

175 male patients suspected of having urethral stricture disease underwent urethral sonography prior to RUG in a prospective, non-randomized study.

RESULTS

A correct positive diagnosis was established in 98% of the cases; a correct negative diagnosis in 96%. The sensitivity and specificity of urethral ultrasound in detecting urethral strictures were 98% and 96%, respectively.

CONCLUSION

Ultrasound offers a three-dimensional study to evaluate the urethral without exposing the gonads to ionizing radiation. The exact length and depth of a stricture, the severity of the strictured segment as well as the anatomy of the periurethral scars were diagnosed accurately. Urethral ultrasound is a simple, inexpensive and rapid investigation of the urethra which should be the preferred diagnostic procedure in the evaluation of strictures in the anterior urethra of men.

摘要

目的

比较超声尿道造影与标准逆行尿道造影(RUG)对尿道狭窄疾病的评估。

方法

在一项前瞻性、非随机研究中,175例疑似患有尿道狭窄疾病的男性患者在进行RUG之前接受了尿道超声检查。

结果

98%的病例确诊为阳性;96%确诊为阴性。尿道超声检测尿道狭窄的敏感性和特异性分别为98%和96%。

结论

超声提供了一种三维研究方法来评估尿道,而无需使性腺暴露于电离辐射。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都能被准确诊断。尿道超声是一种简单、廉价且快速的尿道检查方法,应成为评估男性前尿道狭窄的首选诊断程序。

相似文献

1
[Value of urethral ultrasound in evaluation of pathologic urethral changes].[尿道超声在评估病理性尿道改变中的价值]
Ultraschall Med. 1995 Dec;16(6):254-8. doi: 10.1055/s-2007-1003214.
2
Ultrasound in the evaluation of urethral stricture disease: a prospective study in 175 patients.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
Br J Urol. 1994 Jul;74(1):93-8. doi: 10.1111/j.1464-410x.1994.tb16553.x.
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Evaluation of male anterior urethral strictures by ultrasonography compared with retrograde urethrography.超声检查与逆行尿道造影对男性前尿道狭窄的评估比较
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Urethral stricture assessment: a prospective study evaluating urethral ultrasonography and conventional radiological studies.尿道狭窄评估:一项评估尿道超声检查和传统放射学检查的前瞻性研究。
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Gray scale and color Doppler sonography with extended field of view technique for the diagnostic evaluation of anterior urethral strictures.采用灰阶及彩色多普勒超声检查并结合宽视野技术对前尿道狭窄进行诊断评估。
J Urol. 2007 Mar;177(3):992-6; discussion 997. doi: 10.1016/j.juro.2006.10.026.
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Sono-urethrography in the evaluation of anterior urethral strictures.超声尿道造影在前尿道狭窄评估中的应用
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Magnetic resonance urethrography in comparison to retrograde urethrography in diagnosis of male urethral strictures: is it clinically relevant?磁共振尿道造影与逆行尿道造影在男性尿道狭窄诊断中的比较:其临床相关性如何?
Eur Urol. 2006 Sep;50(3):587-93; discussion 594. doi: 10.1016/j.eururo.2006.01.015. Epub 2006 Jan 23.
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Comparison of radiographic and sonographic urethrography for assessing urethral strictures.用于评估尿道狭窄的X线尿道造影和超声尿道造影的比较。
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Ultrasound evaluation of the male urethra for assessment of urethral stricture.用于评估尿道狭窄的男性尿道超声检查
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Diagnosis of male posterior urethral stricture: comparison of 64-MDCT urethrography vs. standard urethrography.男性后尿道狭窄的诊断:64层螺旋CT尿道造影与标准尿道造影的比较
Abdom Imaging. 2011 Dec;36(6):771-5. doi: 10.1007/s00261-010-9676-7.

引用本文的文献

1
[Perineal ultrasound for diagnostics of male stress incontinence: comparative study on the application of urogynecological standards for men and women].[经会阴超声诊断男性压力性尿失禁:男女泌尿妇科标准应用的比较研究]
Urologe A. 2012 Mar;51(3):384-9. doi: 10.1007/s00120-011-2756-7.
2
Comparison of radiographic and sonographic urethrography for assessing urethral strictures.用于评估尿道狭窄的X线尿道造影和超声尿道造影的比较。
Eur Radiol. 2004 Jan;14(1):137-44. doi: 10.1007/s00330-003-1929-1. Epub 2003 Sep 20.