成年人先天性输尿管囊肿超声诊断及其分型的价值  

Diagnosing and typing in adult congenital ureter cysts by ultrasonography

作　　者：王正滨[1] 于宁[1] 王建红[1] 孙立江[2] 侯四川[2] 马彩娥 

机构地区：[1]青岛大学医学院附属医院超声科,266003 [2]青岛大学医学院附属医院泌尿外科,266003 [3]海军第四零一医院超声科

出　　处：《中华超声影像学杂志》2004年第10期763-766,共4页Chinese Journal of Ultrasonography

摘　　要：目的　探讨成年人先天性输尿管囊肿的超声显像诊断及其分型的价值。方法　回顾性分析2 9例资料完整并经手术与病理证实的成年人先天性输尿管囊肿的超声显像结果。结果　 2 9例成年人先天性输尿管囊肿中 ,右侧 14例 ,左侧 12例 ,双侧 3例 ,共计 3 2个囊肿 ,囊肿最大 5 .2cm ,最小 0 .4cm ,超声显像诊断正确者 2 8例 ,符合率为 96.6% ,误诊 1例 ,占 3 .4%。根据输尿管囊肿的大小、形态、周期性变化、并发肾积水程度及结合手术与病理诊断结果 ,将其分为 4种类型 :Ⅰ型 ,乳头状 ( 12个 ) ;Ⅱ型 ,圆形或椭圆形 ( 9个 ) ;Ⅲ型 ,半月形 ( 4个 ) ;Ⅳ型 ,扁圆形 ( 7个 )。结论　成年人先天性输尿管囊肿的声像图表现有特征性 。Objective To evaluate the diagnosing and typing value of ultrasonography in adult congenital ureter cysts.Methods Ultrasonography findings were depicted of 29 cases with adult congenital ureter cysts confirmed by surgical and pathological examinations. Results In 29 cases of congenital ureter cyst, 14 occurred in right lateral, 12 in left lateral, and 3 in bilateral, totally being 32 cysts. The largest size of the cyst in diameter was (5.2) cm, and the smallest was (0.4) cm. Twenty-eight cases was diagnosed correctly by ultrasonography,in which the accuracy was (96.6)%(28/29). According to the sonographic patterns of size, shape, periodical change,1 case hydronephrosis, surgical and pathological results, 32 adult ureter cysts were divided into four types: type Ⅰ, papillary(12); type Ⅱ, round or ellipse(9);type Ⅲ, semilunar(4);and type Ⅳ, oblate(7). Conclusions Ultrasonographic appearance of adult ureter cyst is specific, and ultrasonography is of great value.

关 键 词：输尿管囊肿 先天性 成年人 超声显像诊断 分型 手术 超声诊断 形态 大小 圆形 

分 类 号：R445.1[医药卫生—影像医学与核医学]