气肿性肾盂肾炎10例影像学诊断  

The Diagnosis of Imaging of 10 Patiemts with Emphyse matous Pyelonephritis

作　　者：肖芝豹[1] 郭小蓝[1] 庄儒耀[1] 赖文雄[1] 肖聪勤[2] 

机构地区：[1]汕头大学医学院第一附属医院放射科,广东汕头515041 [2]广州市第一人民医院泌尿外科

出　　处：《汕头大学医学院学报》2003年第2期89-90,96,共3页Journal of Shantou University Medical College

摘　　要：目的 :分析气肿性肾盂肾炎病人的影像学表现 ,评价各种检查方法的优缺点 ,选择最敏感的检查手段。方法 :收集经手术病理证实的 10例气肿性肾盂肾炎 ,分析其腹部平片 (KUB)、静脉尿路造影 (IVP)、B超及CT表现 ,并进行比较。结果 :KUB及IVP诊断率为 4 0 % (4 10 ) ,B超 2 0 % (2 10 ) ,CT 10 0 % (10 10 )。CT特点表现为 :肾区大量气体与残存低密度肾组织并存。结论 :CT是诊断气肿性肾盂肾炎最快捷、准确的检查手段。Objective:To analyze the image findings of emphysem at ous pyelonephritis and evaluate the merits and deme rits of various check meth od s,then choose the most sensitive one.Methods:The KUB,IVP,B ultrasonic wave and CT findings of 10 patients with emphysematous pyelonephritis which had been convinc ed by operations were analyzed,evaluated and compared.Results:The diagnosis rate s of KUB and IVP was 40%(4/10),B ultrasonic of 20%(2/10),CT of 100%(10/10).The characteristic findings of CT w ere as below:A large number of diffusion of gas and remains of renal tissue whic h was demonstrated in low density coexisted in the renal compartment.Conclusion :Computed tomography is the most feasible,accurate and fastest way in the diagno sis of emphysematous pyelonephritis.

关 键 词：气肿性肾盂肾炎 影像学诊断 CT 腹部平片 

分 类 号：R692.7[医药卫生—泌尿科学]