男性尿道狭窄或闭锁行X线尿道造影的体位选择

李玮; 满立波; 黄广林; 王海; 王建伟; 周宁; 朱晓斐

doi:10.13201/j.issn.1001-1420.2018.11.011

男性尿道狭窄或闭锁行X线尿道造影的体位选择

- 北京积水潭医院泌尿外科(北京, 100096)

详细信息

通讯作者: 满立波,E-mail:mmanlibo@sohu.com

中图分类号: R693

收稿日期: 2017-06-01

Diagnostic value of the different projections X-ray urinary tract imaging for men to assess urethral stricture or atresia

- Department of Urology, Beijing Jishuitan Hospital, Beijing, 100096, China

More Information

Corresponding author: MAN Libo, E-mail: mmanlibo@sohu.com

Received Date: 01 June 2017

摘要

摘要: 目的:探讨不同体位X线尿道造影对于男性尿道狭窄或闭锁的诊断价值。方法:对162例男性尿道狭窄或闭锁患者的临床资料进行回顾性分析。患者年龄8~78岁,平均43.7岁。术前所有患者行基础体位尿道造影:平卧位及右斜卧位30°和60°体位下获得的X线尿道造影平片,评估尿道狭窄/闭锁段显示是否完全及周围情况是否达到观察指标。如不能达到,则需要根据情况行特殊体位造影,包括左侧斜位30°和60°、阴茎牵拉、站立位、侧卧骨盆出、入口位、体位微调等,然后再次评估。结果:162例患者中,基础体位尿道造影可达到观察指标121例(75%);需要摆放特殊体位41例(25%),其中14例摆放左侧斜位,15例行阴茎牵拉,8例站立位,4例投照骨盆出、入口位,其中部分病例体位微调。通过特殊体位,均可以使充盈缺损显示完全,达到观察指标。结论:常规基础体位即可有效诊断和评估大部分病例的狭窄/闭锁情况。对于某些情况,如骨内、外固定,合并尿道瘘、憩室、假道等,阴茎部尿道狭窄游离,闭锁段较短、影像重叠,患者疼痛时需要一些特殊体位造影,结合基础体位充分显示狭窄/闭锁及周围情况,增加诊断价值同时可减少患者痛苦。
- 尿道造影 /
- 体位 /
- 尿道狭窄/闭锁 /
- 诊断
Abstract: Objective: To discuss the diagnostic value of the different projections X-ray urinary tract imaging for men to assess urethral stricture or atresia.Method: One hundred and sixty-two male patients with urethral stricture or atresia whose average age was 43.7 (range, 8-78) years old were analyzed retrospectively.All patients were operated urinary tract imaging preoperatively by general positions:the supine position and 30ånd 60°right decubitus position, then whether the urethral stricture/atresia segment and the surroundings were displayed completely were assessed.If couldn't reach, special positions were needed, including 30ånd 60°of the left side, penis pulled, standing position, inlet or outlet of pelvis, position fine-tuning, etc., then an assessment was done again.Result: In 162 cases, the general position urethral imaging was able to achieve the observed index of 121, accounting for 75%.Special positions were needed in 41 cases (25%).Fourteen cases were put on the left side of the inclined, 15 underwent penile pull, 8 cases of standing, and 4 cases were cast as the inlet or outlet of pelvis.Some of these cases were positioned fine-tuning.Through the special positions, the filling defect could be displayed completely, to achieve the observed index.Conclusion: The general positions can effectively diagnose and evaluate the stricture/atresia condition in most cases.For some situations, such as internal and external fixation of bone, combination of urethral fistula, diverticulum, false ways, free penis of urethra stricture, shorter atresia segment, image overlap, complaint of pain etc., some special positions combined with general positions were needed so as to display stricture/atresia and surroundings completely, increase the diagnostic value and reduce patients' suffering.
- urinary tract imaging /
- position /
- urethral stricture or atresia /
- diagnosis

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