腹膜后纤维化的超声诊断  

Ultrasonic diagnosis of retroperitoneal fibrosis

作　　者：侯秀娟[1] 王洪波[1] 王晓蕾[1] 王虹[1] 刘爱武[1] 

机构地区：[1]哈尔滨医科大学附属第二医院超声诊断科,哈尔滨150086

出　　处：《临床超声医学杂志》2007年第8期493-495,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨腹膜后纤维化的声像图特点。方法回顾性分析7例原发性腹膜后纤维化、4例继发性腹膜后纤维化患者的超声表现。结果11例患者均表现为腹主动脉前壁及两侧壁被条带状低弱回声包绕,10例伴双侧肾盂输尿管积水,1例伴右侧肾盂输尿管积水同时伴有右下肢肿胀。6例经手术病理证实,3例行双侧输尿管内支架术,2例经激素治疗后好转。结论超声可直接显示腹膜后腹主动脉周围纤维斑块及肾脏、血管的受累情况,并动态随访治疗效果,具有较高的临床应用价值。Objective To investigate the ultrasonographic characteristics in retroperitoneal fibrosis. Methods Seven cases with idiopathic retroperitoneal fibrosis and 4 cases with secondary retroperitoneal fibrosis were reviewed and analysed. Results Ultrasonic signs of 11 cases indicated that the anterior and bilaterial wall of abdominal aorta were rounded by hypoecho. In the meantime ,10 cases were found double hydronephroureter, and 1 case was found right lower limb swelling besides right hydronephroureter. Six of them were proved by surgery and pathology, three of them were undertaken intmluminal stent manipulation and the other two were on the mend with eorticoid. Conclusion The periaortic soft- tissue mass could be manifestied directly by ultrasonography and the involved kidneys and the main blood vessles were displayed by ultrasonography. Consequently there is a great value in clinical practice for retroperitoneal fibrosis by ultrasonography.

关 键 词：超声检查 腹主动脉 腹膜后纤维化 

分 类 号：R572.2[医药卫生—消化系统]