成人多囊肾的影像学诊断  

Imaging Diagnosis of Polycystic Kidney in Adult

作　　者：唐志学[1] 李维金[1] 陈洁[1] 易文中[1] 刘祚国[1] 易刚[1] 

机构地区：[1]湖南省怀化市第一人民医院放射科,湖南怀化418000

出　　处：《实用放射学杂志》2000年第6期369-371,共3页Journal of Practical Radiology

摘　　要：目的 :探讨影像学对成人多囊肾的诊断价值。方法 :本组 6 8例均经肾穿刺、手术、病理和较完整的临床资料证实 ,其中 5例合并肾钙乳。对其各种主要影像学征象、发病机理及病理基础进行了分析和讨论。结果 :成人多囊肾的主要影像学征象 :腹部平片 (4 6例 )显示肾影呈分叶状增大 ;囊壁钙化 (14例 ) ;多囊肾合并肾钙乳 (5例 ) ;肾盂造影 (6 0例 ) ,表现为肾盂、肾盏相互分离、变形、拉长 ;腹膜后充气造影 (5例 ) :表现为肾影增大肾影与邻近器官之间的关系 ,其界限清晰可辨 ;CT扫描 (2 5例 ) :表现为肾内多数大小不等的薄壁圆形低密度区 ;B型超声 (4 7例 )表现为肾内多个类圆形无回声的液性暗区。结论 :成人多囊肾均有一定特征性影像学征象 ,B型超声及 CT对诊断非常有帮助 。Objective:To explore the diagnostic value of imagiology in adult polycystic kidney(APK).Methods:68 cases with APK comfired by renal puncture,surgery,pathology and clinical data were included in this group,of them,5 cases were associated with renal stone of calcium miik,the imaging manfestations,etiopathology and pathology were analysed.Results:Main imaging features of APK were as follows:On abdominal plain films showed the lobalate renal enlargement in 46 cases,calcification of polycystic wall in 14 cases,renal calcium milk in 5 cases,60 cases were showed separation,deform and longthend of renal pelvis on intravenous urography and retrograde urography,5 cases were showed renal enlargement on retroperitoneal pneumography,on CT scans in 25 cases showed mulltiply cysts with thin wall,unecho liquid shadows were showed on B-mode ultrasound.Conclusion:Adult polycystic kidney has specific imaging signs,US and CT are very helpful in establishing a definite diagnosis,and combined with the clinical data is helptue to prove the accurate rate of diagnosis.

关 键 词：多囊肾 X线摄影 影像学诊断 CT B超 

分 类 号：R692.120.4[医药卫生—泌尿科学] R816.7[医药卫生—外科学]