【摘要】：目的比較螺旋CT尿道造影三維成像和傳統(tǒng)X線尿道造影在男性前尿道狹窄診治中的應(yīng)用價(jià)值。方法術(shù)前采用螺旋CT尿道造影三維成像的28例患者為A組、術(shù)前采用傳統(tǒng)X線尿道造影攝片的31例患者為B組。兩組均首選行經(jīng)尿道冷刀內(nèi)切開治療,對(duì)兩組患者術(shù)前及術(shù)后尿道狹窄或閉鎖長度、手術(shù)時(shí)間、住院時(shí)間、術(shù)后最大尿流率、術(shù)中改開放手術(shù)發(fā)生率、狹窄復(fù)發(fā)率、并發(fā)癥等指標(biāo)進(jìn)行比較。結(jié)果A組顯示尿道狹窄或閉鎖的解剖結(jié)構(gòu)、和術(shù)中改開放手術(shù)發(fā)生率優(yōu)于B組(P0.05);兩組測(cè)得尿道狹窄或閉鎖長度的精確性、手術(shù)時(shí)間、住院時(shí)間、術(shù)后最大尿流率、狹窄復(fù)發(fā)率、并發(fā)癥發(fā)生率比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。討論螺旋CT尿道造影三維成像明確尿道解剖結(jié)構(gòu)的變化和指導(dǎo)手術(shù)有較高的價(jià)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.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R816.7;R695

【參考文獻(xiàn)】

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1 薛亞崗;撒應(yīng)龍;宋魯杰;司捷e，

本文編號(hào)：2132356