二维超声与超声造影诊断完全性重复肾的比较  

Findings and diagnostic value of ultrasonography in complete duplex kidney

作　　者：赵婷婷[1] 章建全[2] 

机构地区：[1]解放军第五医院,宁夏银川750004 [2]第二军医大学附属长征医院,上海200003

出　　处：《宁夏医学杂志》2009年第9期785-787,F0002,共4页Ningxia Medical Journal

摘　　要：目的总结完全性重复肾的声像特点,增强腹部超声常规检查时对完全性重复肾的识别和诊断能力,突出经皮穿刺肾盂顺行超声造影对判明重复输尿管走行及其开口位置的独特价值。方法在正确诊断7例中的首例完全性重复肾后,及时分析其超声表现和总结检查技巧,对随后的6例均按此检查思路进行诊断,对2例患者进行经皮穿刺肾盂顺行超声造影。二维及超声造影结果与静脉肾盂X线造影或肾盂穿刺顺行X线造影进行对照。结果7例完全性重复肾全部由超声检查最早提出诊断。上位肾盂积水者6例,无积水者1例。超声诊断后行静脉肾盂造影诊断3例,其中2例不显影。超声引导下穿刺上位肾盂顺行X线造影诊断6例,其中1例穿刺时发现淤积的尿液中有脓性物。7例超声诊断结果与尿路造影结果全部符合。2例超声造影病例的重复输尿管开口异位诊断更加清晰可靠。结论常规二维超声通过与X线造影检查的对照印证,超声检查可以准确诊断完全性重复肾。Objective To reinforce the sensitivity and specificity of TAU （transabdominal uhrasonography） in the diagnosis of CDK, and to demonstrate that uhrasonography is an convenient and reliable diagnostic imaging method for CDK by reviewing the acoustic characteristics in 7 cases of complete renal duplication. Methods 7 patients, including 4 males and 3 females, aged between 12 - 39 years old, （25.3 ± 8. 1 ）. The uhrasonographic characteristics and examination techniques of the first case of CDK were surveyed promptly after its accurate diagnosis. The following 6 cases were diagnosed in the same mode. All cases were confirmed by IVP （ intravenous pyelography） or percutaneous antegrade pyelography. Results All 7 cases were first diagnosed with uhrasonography. Accumulated water was found in the epigynous pelvises in 6 cases, not found in 1 case. 3 cases underwent IVP after uhrasonography and 2 of them were not visualized. In 6 cases, the epigynous pelvises were punctured percutaneously under the guidance of uhrasonography to perform pyelography, and purulence urine was found in 1 case during the process. Uhrasonographic diagnoses of all 7 cases were perfectly consistent with the results of urography. Conclusions Proved by X - ray opacification, uhrasonography may diagnose CDK exactly.

关 键 词：完全性重复肾 肾积水 肾囊肿 经腹部超声检查 经皮穿刺上尿路顺行造影 

分 类 号：R445.1[医药卫生—影像医学与核医学]