巨大肾积水的超声诊断  

Ultrasonographic Diagnosis of Giant Hydronephrosis

作　　者：何志容[1] 周兴祥[1] 殷军[1] 吕斌[1] 吴鹏[1] 

机构地区：[1]涪陵中心医院超声科,重庆市408000

出　　处：《中国超声诊断杂志》2006年第2期110-112,共3页Chinese Journal of Ultrasound Diagnosis

摘　　要：目的提高超声检查对巨大肾积水的诊断准确率。方法对经病理和临床证实的27例巨大肾积水的声像图、病理及临床资料进行回顾性分析。结果本组病例术前超声诊断率66.7%,误诊率33.3%。根据声像图表现分为两型:肾盂肾盏扩张型(15例)与肾盏扩张型(12例)。结论巨大肾积水易误诊为多囊肾、肾囊肿及腹腔肿瘤等疾病,但声像图上囊状暗区或短齿状分隔呈放射状排列是巨大肾积水的特征性表现。Objective To improve the diagnosed accuracy of ultrasonography in giant hydroniphrosis.Methods A comparative analysis was carried retrospectivly on sonograms,pathlological and clinical data of 27 giant hydronephrosis cases confirmed by pathology and clinic.Results The pre-operative diagnostic rate in the study of giant hydronephrosis by ultrasonography was 66.7%,the mistaken rate was 33.3%.The sonogram features were divided into two types：pelvicaliceal dilation type （15 cases）and calicectasis type （12 cases）.Conclusions Giant hydronephrosis could be easily misdiagnosed as polycy-stic kidneys,neohrocystosis or abdominal mass.But cystiform echolucent or the radiated arrangment of short-tooth septum round renal pelvis was the characteric sonograms of giant hydronephrosis.

关 键 词：巨大肾积水 超声检查诊断 

分 类 号：R692.2[医药卫生—泌尿科学] R737.9[医药卫生—外科学]