下腔静脉后输尿管的超声诊断研究  

The study on diagnosis of retrocaval ureter with ultrasonography

作　　者：吴志华[1] 徐忠华[1] 彭亮[1] 舒华宝 龚晶晶[1] 王小娟[1] 朱东升[1] 

机构地区：[1]解放军184医院超声科,江西鹰潭335000

出　　处：《东南国防医药》2013年第5期464-466,共3页Military Medical Journal of Southeast China

摘　　要：目的研究超声对下腔静脉后输尿管的临床诊断价值。方法回顾分析经手术和临床确诊的下腔静脉后输尿管的超声表现14例为观察组,随机选取性别、年龄匹配的30例右输尿管上段梗阻病变作为对照组。分别测量肾盂分离程度(D1)、输尿管扩张程度(D2)、狭窄处距肾门的距离(D3),并进行统计学处理。结果下腔静脉后输尿管组D1、D2、D3分别为(2.60±0.29)cm,(1.23±0.14)cm,(5.37±0.98)cm;对照组D1、D2、D3分别为(2.81±0.30)cm,(1.20±0.15)cm,(2.10±0.25)cm。两组间D1和D2差异无统计学意义(P>0.05),两组间D3差异有统计学意义(P<0.05)。结论下腔静脉后输尿管梗阻部位相对固定为其独有的超声表现,彩色多普勒超声可以作为首选检查方法之一。Objective To investigate the diagnostic value of the ultrasonography in retrocaval ureter. Methods Review of operation and clinically diagnosed after the patients with venous cavity ureteral ultrasound erformance of 14 patients,the 14 cases venous cavity ureteral after as research group. Thirty patients with random gender and matched age in the period of ureteral obstruction of the right disease as a comparison were selected. The renal pelvis separation degree( D1),ureteral expansion( D2),and narrow degree in the distance from the kidney door( D3) were measured and the data were analyzed. Results After the vena cava ureteral group,D1,D2 and D3 were( 2. 60 ± 0. 29) cm,( 1. 23 ± 0. 14) cm,( 5. 37 ± 0. 98) cm respectively. In control group,D1,D2 and D3 were( 2. 81 ±0. 30) cm,( 1. 20 ± 0. 15) cm,( 2. 10 ± 0. 25) cm. D1 and D2 group did not have statistically significant differences( P > 0. 05),There was statistically significant differences between D1 and D3( P < 0. 05). Conclusion Vena cava after ureteral obstruction position relatively fixed for its unique sonographic findings,color doppler ultrasound can be used as a first choice for one of the method.

关 键 词：腔静脉后输尿管 彩色多普勒超声 诊断 

分 类 号：R693[医药卫生—泌尿科学] R445.1[医药卫生—外科学]