高频超声和3.0T 磁共振检查男性淋球菌性尿道旁腺炎的比较  

Comparison of high-frequency ultrasound imaging and 3.0 T magnetic resonance imaging for the examination of males with gonococcal inflammation of paraurethral glands

作　　者：范文葛[1] 叶迅[2] 王玲[1] 陆志华[3] 季立标[3] 薛峤[1] 陶晓瑜[1] 丁浩[1] 魏梅[1] 张静 赵军[1] 

机构地区：[1]苏州大学附属常熟医院常熟市第一人民医院皮肤科,江苏常熟215500 [2]苏州大学附属常熟医院常熟市第一人民医院超声科,江苏常熟215500 [3]苏州大学附属常熟医院常熟市第一人民医院影像科,江苏常熟215500

出　　处：《中华皮肤科杂志》2015年第5期329-332,共4页Chinese Journal of Dermatology

基　　金：常熟市卫生局科技计划项目（csws201317）

摘　　要：目的：探讨男性淋球菌性尿道旁腺炎的形态特征。方法使用 Siemens Acuson X300实时超声显像仪和 Philips Achieva 3.0T 磁共振联合检查11例男性淋球菌性尿道旁腺炎患者。结果高频超声影像均表现为管道状回声，境界清，边缘光整，内部呈弱回声，一端为盲端，一端和外界相通。走行方向与尿道平行。管道直径0.7~1.3 mm（平均1.1±0.2 mm），管道长度7.0~12.0 mm（平均8.4±0.6 mm）。其中2例管道状回声内见液性暗区。3.0T 磁共振检测不到男性尿道旁管。结论高频超声能检测出男性淋球菌性尿道旁腺炎的形态特征，为手术治疗提供有价值的超声图像。Objective To investigate the morphologic characteristics of gonococcal inflammation of paraurethral glands in males. Methods Eleven male patients with gonococcal inflammation of paraurethral glands were examined by both real-time ultrasound imaging （Siemens Acuson X300） and 3.0 T magnetic resonance imaging （MRI, Philips Achieva）. Results High-frequency ultrasound imaging revealed tubular echoic areas with well-defined borders and smooth margins in all the patients. The inside of these tubular areas was weak-echoic. These tubular echoic areas were blind in one end, but open in the other end, and ran in parallel with the urethra. The mean lumen diameter was 1.1 ± 0.2 mm （range, 0.7 - 1.3 mm） , and the mean lumen length was 8.4 ± 0.6 mm （range, 7.0 - 12.0 mm）. Anechoic liquid-filled areas were seen in the tubular echoic areas in two patients. Paraurethral ducts were not detected by 3.0 T MRI in these patients. Conclusions High-frequency ultrasound imaging can clearly show the morphologic characteristics of gonococcal inflammation of paraurethral glands in males, and provide valuable ultrasound images for surgery.

关 键 词：尿道 淋病奈瑟球菌 男人 磁共振成像 超声检查 尿道旁腺炎 

分 类 号：R445[医药卫生—影像医学与核医学] R695[医药卫生—诊断学]