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男性尿道内尖锐湿疣的超声评价


Ultrasonographic assessment of urethral condyloma acuminatum in men

朱家安  胡兵  张炯  金三宝  陈曾德  吴登龙 

摘 要:目的评价尿道超声在男性尿道内尖锐湿疣的临床价值. 方法尿道超声技术检测临床怀疑尿道内尖锐湿疣的患者22例.采用患者自行排尿方法充盈尿道.经直肠超声径路检测后尿道,经会阴的腹侧以序纵向和横向显示球部尿道、阴囊部尿道和阴茎部尿道.对病理证实的尿道内尖锐湿疣进行超声分型.所有患者同时接受尿道镜检查.结果超声在17例患者中的前尿道中发现83个赘生物,病理证实是尖锐湿疣81例.声像图可以分为息肉型、乳头型和菜花型三种类型,分别占1.2%、38.3%和60.5%.超声对乳头型和菜花型赘生物的诊断特异性较高,对于息肉性的赘生物与结晶鉴别较难.所有患者的后尿道均未发现赘生物.结论尿道超声是诊断尿道内尖锐湿疣的敏感的影像学方法.可以提供病变的部位、范围以及是否合并尿道狭窄等信息,对于尿道内尖锐湿疣治疗后的随访是良好的诊断工具.

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