磁共振尿路造影在临床泌尿道梗阻中的诊断价值  

Diagnostic value of MR urography in urinary tract obstruction

作　　者：应援宁[1] 韩悦[1] 廉宗澂[1] 

机构地区：[1]天津医科大学第二医院放射科,天津市300211

出　　处：《放射学实践》2002年第2期133-135,共3页Radiologic Practice

摘　　要：目的：评估磁共振尿路造影在临床泌尿道梗阻中的诊断价值。方法：回顾性对６１例泌尿系梗阻患者的　ＭＲＵ检查所见与手术和病理结果对照分析。结果：６１例泌尿系梗阻患者中，输尿管癌７例，输尿管结石８例，下腔静脉后输尿管１例，输尿管良性狭窄１１例，先天性输尿管狭窄２７例，膀胱癌侵及输尿管４例，泌尿系改道手术后再次发生良性梗阻患者３　例。所有病例ＭＲＵ均确定梗阻水平并且清晰显示梗阻端形态和特征。结论：ＭＲＵ是一种安全、可靠、无创的检查方法，尤对ＩＶＵ不显影或仅显示扩张的肾盏、肾盂影的重度肾积水病例或对对比剂过敏的患者更有诊断价值。Objective:To assess the diagnostic value of MR urography (MRU) in urinary obstruction.Methods:Sixty-one patients with urinary obstruction were performed MRU.Their image findings were retrospectively analyzed and correlated with the surgical and pathological findings.Results:61 cases of urinary obstruction included ureteral carcinoma in 7,ureteral calculus in 8,retrocaval ureter in 1,benign ureteral stricture in 11,congenital ureteral stricture in 27,invasion of ureter from bladder carcinoma in 4,recurrent benign ureteral obstructure after operation of urinary diversion in 3.MRU of all the patients documented the site,shape and features of urinary obstruction.Conclusion:MRU is a safe,noninvasive and effective method in the diagnosis of urinary obstruction,particularly for the patients with non-visualisation or severe hydronephrosis on intravenous urogram or patients allergic to iodine.

关 键 词：泌尿造影 泌尿道梗阻 NMR 成像 

分 类 号：R445.2[医药卫生—影像医学与核医学]