尿道狭窄患者行尿道造影检查的并发症及处理  

Complications of urethrography and its management

作　　者：杨伟 王平 傅强[2] 宋鲁杰[2] 郑英俊 杜明君 Yang Wei;Wang Ping;Fu Qiang;Song Lujie;Zheng Yingjun;Du Mingjun(Department of Urology,Shanghai Electric Power Hospital,Shanghai 200050,China;Department of Urology,Shanghai Sixth Peoples Hospital,Shanghai 200233,China)

机构地区：[1]上海电力医院泌尿外科,上海200050 [2]上海市第六人民医院泌尿外科,上海200233

出　　处：《中华泌尿外科杂志》2023年第1期60-61,共2页Chinese Journal of Urology

摘　　要：本研究回顾性分析行尿道造影检查出现并发症的28例男性尿道狭窄患者的临床资料,其中感染14例,尿道出血8例,造影剂超敏反应5例,膀胱破裂1例。感染表现为急性膀胱炎11例,急性肾盂肾炎1例,急性附睾炎1例,脓毒血症1例。超敏反应3例为轻度,2例为中重度。膀胱破裂患者为一幼儿,立即转开放手术行膀胱修补术后治愈。所有患者均经相应处理后并发症获得治愈。尿道造影检查并发症表现形式多样,严重程度不同,要注意防范和妥善处理。This study retrospectively analyzed the clinical data of 28 male patients with urethral stricture who had complications during urethrography,including 14 cases of infection,8 cases of urethral bleeding,5 cases of contrast agent hypersensitivity,and 1 case of bladder rupture.The infection manifested as acute cystitis in 1l cases,acute pyelonephritis in 1 case,acute epididymitis in 1 case,and sepsis in 1 case.Hypersensitivity reaction was mild in 3 cases,moderate and severe in 2 cases.A child with bladder rupture was immediately transferred to open surgery for bladder repair.All patients were cured by corresponding treatment.The complications of urethrography have various manifestations and different degrees of severity,so we should pay attention to prevention and proper treatment.

关 键 词：尿道狭窄 尿道造影 尿道成形术 

分 类 号：R699.6[医药卫生—泌尿科学]