超声造影在输尿管结核诊断中的价值  

Value of Contrast-enhanced Ultrasound in Diagnosis of Ureteral Tuberculosis

作　　者：徐建平[1] 杨高怡[1] 何宁[1] 张文智[1] 张莹[1] 张林[1] 

机构地区：[1]杭州市红十字会医院超声科,杭州市310003

出　　处：《中国超声医学杂志》2016年第4期358-360,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声造影在输尿管结核中的应用价值。方法对22例经手术病理证实的输尿管结核患者超声造影图像进行回顾性分析。结果输尿管结核常规超声主要表现为输尿管内径增宽、黏膜增厚,管腔内可见不均匀絮状高回声、弥漫性高回声、结节状低回声。根据超声造影表现将22例输尿管结核分为以下两型:不均匀增强型18例(81.8%);无增强型4例(18.2%)。结论超声造影能反映输尿管结核的血流灌注情况,为诊断提供帮助。Objective To explore the application of contrast-enhanced ultrasound（CEUS）in ureteral tuberculosis.Methods Twenty-two patients of ureteral tuberculosis proved by surgery and pathology were studied with contrast-enhanced ultrasound.Results The signs of ureternl tuberculosis were wider diameter,thicker mucosa,heterogeneous hypoechoic in ureteral,diffuse hypoechoic,low echo of tuber-like.The results of CEUS were divided into two types：inhomogeneous enhancement in 18cases（81.8%）and no enhancement in 4cases（18.2%）.Conclusions Contrast-enhanced ultrasound can provide valuable information of the blood perfusion of tuberculous ureter and can provide evidence for diagnosis.

关 键 词：输尿管 结核 超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学] R527[医药卫生—诊断学]