CAJ | 학술논문

目的探讨经会阴超声在女性尿道周围病变诊断中的应用价值.方法经会阴超声观察403例女性在静息状态及Valsava动作下尿道及尿道周围组织,总结正常女性尿道及尿道周围病变的超声表现.结果经会阴超声检查可清晰显示女性尿道及尿道周围病变.403例女性中尿道正常者380例;尿道钙化18例,表现为尿道内可见高回声或强回声斑;尿道周围囊肿2例,表现为尿道周围可见类圆形无回声区,与尿道不相通;尿道憩室2例,表现为在尿道周围可见类圆形无回声区,与尿道相通;尿道阴道瘘1例,表现为尿道与阴道之间不规则形低回声区,与尿道及阴道均相通.结论经会阴超声可显示女性尿道并对女性尿道周围病变进行诊断,对临床诊断具有参考价值.
목적 탐토경회음초성재녀성뇨도주위병변진단중적응용개치.방법 경회음초성관찰403례녀성재정식상태급Valsava동작하뇨도급뇨도주위조직,총결정상녀성뇨도급뇨도주위병변적초성표현.결과 경회음초성검사가청석현시녀성뇨도급뇨도주위병변.403례녀성중뇨도정상자380례;뇨도개화18례,표현위뇨도내가견고회성혹강회성반;뇨도주위낭종2례,표현위뇨도주위가견류원형무회성구,여뇨도불상통;뇨도게실2례,표현위재뇨도주위가견류원형무회성구,여뇨도상통;뇨도음도루1례,표현위뇨도여음도지간불규칙형저회성구,여뇨도급음도균상통.결론 경회음초성가현시녀성뇨도병대녀성뇨도주위병변진행진단,대림상진단구유삼고개치.
Objective To investigate the application value of transperineal ultrasound in female urethras and pathological change of circum-urethras.Methods 403 female patients were examined by transperineal ultrasound in condition of resting and maximum Valsalva,female urethras and pathological changes of circum-urethras were observed and ultrasonic manifestation were concluded.Results By transperineal ultrasound the images of normal urethras and pathological change of circum-urethras were clearly discernible.403 female patients were examined,380 normal.18 urethral calcification,there was hyperecho stripe in urethras.2 urethral cyst,there was round anechoic area in circum-urethras and no fistula between round anechoic area with urethras.2 urethral diverticulum,there was round anechoic area in circumurethras and a fistula between round anechoic area with urethras.1 urethrovaginal fistula,there was irregular hypoechoic area between urethras with vagina,the irregular hypoechoic area both communicate with urethras and vagina.Conclusions Transperinealr ultrasound can be used for examination urethras and pathological change of circum-urethras in female patients and may provide more reliable information for clinical diagnosis.