螺旋CT三维成像在前尿道狭窄中的应用价值探讨
发布时间：2018-07-18 15:35
【摘要】：目的比较螺旋CT尿道造影三维成像和传统X线尿道造影在男性前尿道狭窄诊治中的应用价值。方法术前采用螺旋CT尿道造影三维成像的28例患者为A组、术前采用传统X线尿道造影摄片的31例患者为B组。两组均首选行经尿道冷刀内切开治疗,对两组患者术前及术后尿道狭窄或闭锁长度、手术时间、住院时间、术后最大尿流率、术中改开放手术发生率、狭窄复发率、并发症等指标进行比较。结果A组显示尿道狭窄或闭锁的解剖结构、和术中改开放手术发生率优于B组(P0.05);两组测得尿道狭窄或闭锁长度的精确性、手术时间、住院时间、术后最大尿流率、狭窄复发率、并发症发生率比较差异均无统计学意义(P0.05)。讨论螺旋CT尿道造影三维成像明确尿道解剖结构的变化和指导手术有较高的价值。
[Abstract]:Objective to compare the value of three-dimensional spiral CT urethrography and traditional X-ray urethrography in the diagnosis and treatment of male anterior urethral stricture. Methods Twenty-eight patients with three dimensional spiral CT urethrography were treated as group A and 31 patients with conventional radiography before operation as group B. The length of urethral stricture or atresia, operative time, hospital stay, maximum flow rate, the incidence of open surgery and the recurrence rate of stricture were selected as the first choice in both groups. Complications were compared. Results the anatomic structure of urethral stricture or atresia in group A was better than that in group B (P0.05), the accuracy of length of urethral stricture or atresia, the operative time, the length of hospitalization, the maximum urinary flow rate and the recurrence rate of stenosis were measured in two groups. There was no significant difference in the incidence of complications (P0.05). It is of great value to discuss the change of urethral anatomical structure by three-dimensional spiral CT urethrography and to guide the operation.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R816.7;R695
[Abstract]:Objective to compare the value of three-dimensional spiral CT urethrography and traditional X-ray urethrography in the diagnosis and treatment of male anterior urethral stricture. Methods Twenty-eight patients with three dimensional spiral CT urethrography were treated as group A and 31 patients with conventional radiography before operation as group B. The length of urethral stricture or atresia, operative time, hospital stay, maximum flow rate, the incidence of open surgery and the recurrence rate of stricture were selected as the first choice in both groups. Complications were compared. Results the anatomic structure of urethral stricture or atresia in group A was better than that in group B (P0.05), the accuracy of length of urethral stricture or atresia, the operative time, the length of hospitalization, the maximum urinary flow rate and the recurrence rate of stenosis were measured in two groups. There was no significant difference in the incidence of complications (P0.05). It is of great value to discuss the change of urethral anatomical structure by three-dimensional spiral CT urethrography and to guide the operation.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R816.7;R695
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1 薛亚岗;撒应龙;宋鲁杰;司捷e，
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