尿道带管造影的临床应用价值  

Clinical Value of Pericatheter Urethrography

作　　者：叶绪晓[1] 撒应龙[1] 薛亚岗[1] 金重睿[1] 徐月敏[1] 

机构地区：[1]上海市第六人民医院泌尿外科,上海200233

出　　处：《实用放射学杂志》2010年第3期388-391,共4页Journal of Practical Radiology

摘　　要：目的探讨尿道带管造影在尿道狭窄（闭锁）手术后的应用价值。方法男性尿道狭窄（闭锁）患者62例，年龄18～49岁，平均32岁。其中，44例行尿道端端吻合术，18例行黏膜替代尿道成形术。所有患者术后行尿道带管造影，如造影片提示尿道吻合1=I愈合良好，则拔除导尿管；如造影片提示尿道吻合口愈合不良，则继续留置导尿管，直到尿道带管造影片提示尿道吻合I=1愈合良好。结果93．2％的尿道端端吻合术患者术后2～3周拔除导尿管。88．9％的黏膜替代尿道成形术患者术后2～3周拔除导尿管。尿道端端吻合术的手术成功率为88．6％，黏膜替代尿道成形术的手术成功率为83．3％。结论尿道带管造影可以准确检测尿道狭窄（闭锁）患者手术后尿道吻合口愈合情况，在术后拔除导尿管时间的选择上有重要的指导意义。Objective To evaluate the value of pericatheter urethrography in urethral strictures or distraction diseases after surgi- cal operation. Methods 62 men with urethral strictures or distraction diseases were treated with anastomotic urethroplasty or muco- sal graft substitution urethroplasty. In order to detect she healing status of urethral anastomotic stoma after surgery, all patients un- derwent pericatheter urethrography. The catheters were pulled out if the urethral anastomotic stoma healed well. Results 93.2 % pa- tients undergone anastomotic urethroplasty,the catheters were pulled out two or three weeks after surgical operation. 88.9 ~ pa- tients undergone mueosal graft urethroplasty, the catheters were pulled out two or three weeks after their surgical operation. The successful ratio of anastomotic urethroplasty and mucosal graft urethroplasty were 88.6~ and 83.3~,respectively. Conclusion Pericatheter urethrography can exactly detect the healing status of urethral anastomotic stoma of the patient with urethral strictures or distraction diseases that had underwent surgical operation. It will be a useful way to select the time of pulling out the catheter.

关 键 词：尿道 尿道造影 尿道狭窄 

分 类 号：R695[医药卫生—泌尿科学] R814.43[医药卫生—外科学]