黄色肉芽肿性肾盂肾炎的CT影像诊断与鉴别诊断  

CT Image Diagnosis and Differential Diagnosis of XGP

作　　者：张黄华 朱益祥[1] 孙明[1] 

机构地区：[1]海盐县人民医院放射科,浙江省嘉兴市314300

出　　处：《中国全科医学》2012年第15期1779-1781,共3页Chinese General Practice

摘　　要：目的探讨CT在黄色肉芽肿性肾盂肾炎(XGP)诊断与鉴别诊断中的应用价值。方法回顾性分析我院6例经病理证实的黄色肉芽肿性肾盂肾炎患者的CT影像资料,总结其影像学特征。结果黄色肉芽肿性肾盂肾炎的CT表现主要为肾内囊状低密度占位,肾窦脂肪减少、消失和肾周受累表现具有特征性。结论 CT平扫加增强扫描是术前诊断黄色肉芽肿性肾盂肾炎的最佳方法。Objective To explore the application value of CT image in the diagnosis and differential diagnosis of xanthogranulomatous pyelonephritis（XGP）.Methods CT images of 6 XGP patients confirmed by pathology were retrospectively analyzed and their imaging characteristics were concluded.Results CT manifestations of xanthogranulomatous pyelonephritis were renal cystic low-density space-occupying,renal sinus fat reduction and disappearance and perirenal involvement with characteristic performance.Conclusion Plain and enhanced CT scan is the best way for the preoperative diagnosis of xanthogranulomatous pyelonephritis.

关 键 词：肾盂肾炎 黄肉芽肿性 体层摄影术 螺旋计算机 诊断 

分 类 号：R692.7[医药卫生—泌尿科学]