Vargas-Serrano B, Cortina-Moreno B, Rodríguez-Romero R, Ferreiro-Argũelles I
Department of Diagnostic Radiology, Hospital Severo Ochoa, Madrid, Spain.
J Clin Ultrasound. 1997 Jan;25(1):21-8. doi: 10.1002/(sici)1097-0096(199701)25:1<21::aid-jcu4>3.0.co;2-m.
The diagnosis of urethral diverticula in women can be difficult. Several imaging modalities have been described for evaluating this entity: urethrography; transabdominal, transrectal, transvaginal, and transperineal ultrasonography; computed tomography (CT); and magnetic resonance (MR) can be helpful in evaluating a diverticulum and its relationship to the urethra. We report on four women aged 36 to 42 years with urethral diverticula. Transrectal ultrasonography (TRU) was the most useful diagnostic test in our series. TRU showed 7 urethral diverticula and provided information about its shape, volume, and content as well as its spatial relationship about its shape, volume, and content as well as its spatial relationship to the urethra. In two cases, multiple diverticula were detected when only a single lesion was clinically suspected. Transabdominal sonography failed to demonstrate small diverticula. CT examination did not provide additional information except for the passage of the contrast from the urethra to the diverticulum in one of the cases. Voiding cystourethrogram was positive in only one patient.
女性尿道憩室的诊断可能具有挑战性。已有多种影像学检查方法用于评估这一病症：尿道造影；经腹、经直肠、经阴道和经会阴超声检查；计算机断层扫描（CT）；磁共振成像（MR），这些检查有助于评估憩室及其与尿道的关系。我们报告了4例年龄在36至42岁之间的女性尿道憩室患者。在我们的病例系列中，经直肠超声检查（TRU）是最有用的诊断方法。TRU显示了7个尿道憩室，并提供了其形状、体积、内容物以及与尿道的空间关系等信息。在2例病例中，临床仅怀疑有单个病变时却检测到多个憩室。经腹超声检查未能显示小的憩室。CT检查除了在其中1例病例中显示造影剂从尿道进入憩室外，未提供其他额外信息。排尿性膀胱尿道造影仅在1例患者中呈阳性。
