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首页> 外文期刊>International urogynecology journal and pelvic floor dysfunction >Diagnosis of female urethral diverticulum using transvaginal contrast-enhanced sonourethrography.
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Diagnosis of female urethral diverticulum using transvaginal contrast-enhanced sonourethrography.

机译:经阴道对比度增强儿童公星性诊断雌性尿道憩室。

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This study investigated the value of transvaginal contrast-enhanced sonourethrography for the diagnosis of female urethral diverticulum (UD) by comparing results of contrast-enhanced ultrasound images and surgical findings.A total of 14 female UD patients underwent preoperative transvaginal contrast-enhanced sonourethrography between July 2010 and June 2012. History and physical examination were initially assessed by the same urologist. Transvaginal contrast-enhanced ultrasound imaging was performed and interpreted by the same ultrasonographer. Definite diagnosis was made by tracking the flow of the microbubbles into the cyst. Additionally, sagittal, cross-sectional, and dynamic images were obtained, and color Doppler ultrasound was applied in all cases. Data on the size, location, configuration, and opening of the UD was documented, and then compared with the surgical findings.The most common symptoms presenting in the UD patients included urinary incontinence (71.5 %), recurrent urinary tract infection (57.1 %), frequency (50 %), urgency (35.7 %), dysuria (35.7 %), and dyspareunia (21.4 %). On physical examination, 8 out of 14 patients (57.1 %) had a palpable anterior vaginal wall mass, while 6 out of 14 patients (42.9 %) had no palpable mass. Transvaginal contrast-enhanced sonourethrography revealed 17 diverticula orifices in total and correlated well with surgical findings regarding the size, location, configuration, and the opening of the UD.In patients with chronic irritative bladder symptoms, but with no response to conventional treatment a high index of suspicion for UD should be maintained. Our study demonstrates that transvaginal contrast-enhanced sonourethrography is a useful tool for defining the size, location, configuration, and opening of the UD before surgery.
机译:本研究通过比较对比增强超声图像和外科调查结果来调查经阴道对比增强型儿童公星语的价值,用于诊断雌性尿道憩室(UD)。总共14例患者在7月至7月期间经历过的经阴道对比增强术语周刊的14名雌性UD患者2010年和2012年6月。历史和体检最初由同一泌尿科医商评估。通过相同的超声波进行经阴道对比度增强的超声成像和解释。通过将微泡的流入囊肿跟踪通过将微泡的流动进行诊断。另外,获得了矢状,横截面和动态图像,并且在所有情况下都应用了彩色多普勒超声。记录了UD的大小,位置,配置和打开的数据,然后与手术结果进行比较。患有UD患者中呈现的最常见的症状包括尿失禁(71.5%),复发性尿路感染(57.1%) ,频率(50%),紧急性(35.7%),困难(35.7%)和疑难表达(21.4%)。在体检中,14名患者中有8例(57.1%)具有可触及的前阴道壁质量,而14名患者中有6例(42.9%)没有明显的质量。 Transvaginal造影型儿童公象揭示了17个憩室孔口,总共有关于慢性刺激性膀胱症状的尺寸,位置,配置和开放的外科调查结果,但没有对常规治疗的反应高指数应保持对UD的怀疑。我们的研究表明,经阴道对比度增强的儿童公式是一种有用的工具,用于在手术前定义UD的大小,位置,配置和打开。

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