慢性尿路梗阻性肾外附属受累的多层螺旋CT表现  

MSCT findings of extrarenal appendage involvement with chronic urinary tract obstruction

作　　者：徐有学 范俊飞 王敏灵 XU Youxue;FAN Junfei;WANG Minling(Department of Radiology , Dongshen Hospital , Zhongshan 528414 ,China)

机构地区：[1]中山市东升医院影像科,广东中山528414

出　　处：《实用放射学杂志》2019年第4期598-601,共4页Journal of Practical Radiology

摘　　要：目的探讨慢性尿路梗阻性肾外附属受累的发生率及MSCT表现。方法回顾性分析120例慢性尿路梗阻的MSCT表现。结果120例慢性尿路梗阻中,75例有肾外附属受累(62.5%)。肾外附属受累的MSCT表现包括肾被膜增厚(8.00%)、肾被膜下积液(14.67%)、肾周间隙桥隔增厚(100.00%)、肾周间隙内脂肪层斑片状影(36.00%)、肾筋膜增厚(96.00%)、肾旁间隙积液(88.00%)、腹膜增厚(76.00%)、假性囊肿(1.33%)、腹膜外脂肪内斑片状影(22.67%)、腹壁脂肪内斑片状影(6.67%)、腹腔内脂肪斑片状密度增高影(32.00%)及腹腔积液(4.00%)。结论MSCT可清晰显示慢性尿路梗阻时肾周间隙、肾旁间隙的受累程度和范围,对其诊断有重要作用。Objective To investigate the incidenee of chronic renal obstructive external appendage involvcment and the results of MSCT detection.Methods MSCT data of 120 patients with chronic urinary tract obstruction were retrospectively analyzed.Results Among 120 patients, 75 cases were found with the extrarenal appendage injury ( 62.5%). The injury of the extrarenal appendage included thickening of renal capsule ( 8.00 %), effusion of renal subcapsular( 14.67%), thickening of bridging septa of the perinephric space (100.00%).lamellar shadow of fat layer in the perirenal space(36.00%), thickening of renal fascia( 96.00%),pararenal space effusion (88.00%),thickening peritoneal) 76.00%),pseudocyst(1.33%),lamellar shadow of fat layer in extraperitoneal(22.67%)and napes(6.67%), increased intraperitoneal fat density! 32.00%)and peritoneal effusion( 4.00 %).Conclusion MSCT can clearly dem on strate extent and range of the perinephric space and pararenal space involvement in chronic urinary tract obstruction.CT scan play an important role in chronic urinary tract obstruction.

关 键 词：慢性尿路梗阻 肾周炎 计算机体层成像 

分 类 号：R694[医药卫生—泌尿科学] R692[医药卫生—外科学]