肾盂输尿管连接部梗阻的X线表现与病因分析(附23例报告)  

The X-ray Manifestation and Etiological Analysis of Pyeloureteric Junction Obstruction

作　　者：刘小维[1] 巫北海[2] 

机构地区：[1]重庆市第五人民医院放射科,重庆400062 [2]第三军医大学西南医院放射科

出　　处：《实用放射学杂志》2001年第11期839-841,共3页Journal of Practical Radiology

摘　　要：目的　通过对肾盂输尿管连接部 (PUJ)梗阻的X线表现与病因分析 ,提高X线检查对PUJ梗阻的病因诊断。方法　本组 2 2例经静脉尿路造影 (IVU) ,15例行逆行尿路造影 (RGU ) ,6例经皮肾穿造影。结果　PUJ狭窄 12例 ,迷走血管 4例 ,纤维束带3例 ,输尿管高位附着 2例 ,输尿管瓣膜 1例 ,胎生残留结构 1例。全部病例经手术证实。结论　IVU、RGU和经皮肾穿造影为最常用和最有效的诊断方法。对部分PUJ梗阻可作出病因诊断。Objective To improve the diagnosis to the cause of pyeloureteric junction(PUJ) obstruction.Methods We carried out intravenous urography(IVU) exam in 22 cases and pyelography exam through percutaneous trans-renal puncture in 6 cases.Among them,15 cases had also received retrograde urography(RGU)exam.Results Among the 23 cases,12 cases were of stenosis,4 cases were of vagrant vessel,3 cases were of fibrous band,2 cases were of high-positioned ureter,1 case was of ureteric valve and 1 case was of viviparous remains texture.The above results were attested by operation.Conclusion IVE,RGU and percutaneous trans-renal puncture pyelography are the most commonly used and most efficient ways to the diagnosis of PUJ obstruction.They can help diagnosis the causes of some PUJ obstruction.

关 键 词：肾盂输尿管连接部梗阻 静脉尿路造影 逆行尿路造影 经皮肾穿造影 X线诊断 病因 病例报告 

分 类 号：R693[医药卫生—泌尿科学] R816.7[医药卫生—外科学]