5种影像学检查方法对下腔静脉后输尿管诊断价值的比较  

Comparatively Diagnostic Value Analysis:Postcaval Ureter Diagnosis through Five Inspectional Approaches

作　　者：黄科峰[1] 赵国宏[1] 席涛[1] 张婷[1] 薛宝山[1] 陶飞[1] 韩俊玲[1] 黄金山[2] 王刚[2] 孟安启[2] 吴勇军[2] 周保成[2] 

机构地区：[1]解放军第477医院放射科,湖北襄樊441003 [2]解放军第477医院泌尿外科,湖北襄樊441003

出　　处：《临床军医杂志》2008年第4期586-588,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨IVP、RP、B超、CT及MRU诊断下腔静脉后输尿管的临床价值。方法总结经手术证实的8例下腔静脉后输尿管的IVP、RP、B超、CT及MRU资料,比较五种影像检查方法的准确性及临床实用价值。结果B超仅能作为筛选方法,IVP及RP可提示本病,RP后立即CT薄层扫描及MRU可明确诊断,诊断率均为100%。结论RP后立即CT薄层扫描及MRU两种检查方法均较简便、快捷、准确,具有很高的临床应用价值。当逆行输尿管插管失败时,MRU更具实用价值。Objective To investigate the clinical value of intravenous pyelography （IVP）, retrograde pyelography （RP）, B-type ultrasonic inspection, computerized tomography （CT） and magnetic resonance urography （MRU） in the diagnosis of postcaval ureter.Methods The analysis was done on the basis of 8 cases of postcaval ureter diagnosis through IVP, RP, B-type ultrasonic inspection, CT and MRU, by means of comparing the accuracy and the clincal value of the above five imaging scan methods.Results B-type ultrasonic inspection could only serve as a screening technique, IVP and RP could give a clue to the disease, while CT of thin layer scaning soon after RP and MRU could provide a clear diagnosis with an accuracy of 100%. Conclusion CT of thin layer scan soon after RP and MUR is convenient, fast and accurate, being worthwhile to be recommended in the clinical practice. When the retrograde intra-ureteral cannula failed, MRU is of more pratical value.

关 键 词：输尿管 静脉尿路造影 逆行尿路造影 磁共振尿路成像 B超检查 X线计算机体层摄影术 

分 类 号：R445[医药卫生—影像医学与核医学] R693[医药卫生—诊断学]