黄色肉芽肿性肾盂肾炎CT诊断价值5例报告  

Role of Computerized Tomography in Diagnosing Xanthogranulomatous Pyelonephritis

作　　者：刘辉安 谢劲军 左玉江 张豫 王甄 

机构地区：[1]深圳市布吉人民医院,广东深圳518112 [2]梅县人民医院,广东梅县514011

出　　处：《实用医技杂志》2006年第7期1064-1065,共2页Journal of Practical Medical Techniques

摘　　要：目的:探讨黄色肉芽肿性肾盂肾炎CT诊断价值。方法:回顾分析5例经手术病理或/和穿刺活检证实黄色肉芽肿性肾盂肾炎CT表现,5例均行CT平扫加增强检查,4例静脉肾盂造影,3例超声检查。结果:5例均为单侧发病,右肾1例,左肾4例。平扫4例肾体积普遍增大,1例肾内见多个囊状低密度灶,3例见多个结节状低密度灶;1例肾脏局部肿大,肾实质见局灶性低密度灶。增强5例低密度灶无强化,病灶边缘强化。3例合并肾结石,1例合并输尿管上段结石,5例有肾周炎症。结论:CT检查能显示病灶部位、范围及肾周受累程度,对黄色肉芽肿性肾盂肾炎有重要的诊断价值。Objective To probe role of computerized tomography （CT） in diagnosing xanthogranulomatous pyelonephritis. Methods 5 cases of xanthogranulomatous pyelonephritis, which were confirmed by surgical pathology and/or puncture biopsy, underwent plain and enhanced scan with CT, and their imaging data were reviewed. In addition, 4 cases underwent intravenous pyelography and 3 cases underwent ultrasound examination. Results All cases had lesions in only one side,with one situated in right kidney and 4 in left kidney. 4 cases were found universal enlargement of kidney under plain scan,and one case was found multiple cyst-like low intensity lesions. 3 cases were found multiple nodule-like low-intensity lesions. One case had localized enlargement of kidney, displaying localized low-intensity lesion in renal paren ehyma. As for contrast enhanced scan of the 5 cases,none of the low-intensity lesions were enhanced,except for the edge being enhanced. 3 cases were complicated with paranephritis. Conclusion CT is able to detect location, spread and perirenal involvement of xanthogranulomatous pyelonephritis, playing an important role in diagnosing xanthogranulomatous pyeloneohritis.

关 键 词：黄色肉芽肿性肾孟肾炎 计算机体层摄影 诊断 

分 类 号：R816.7[医药卫生—放射医学]