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
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。
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abstractsObjective 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.
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