先天性输尿管梗阻影像表现与手术病理对照分析(附36例分析)  

Analysis of between imagine feature of congenital ureteral stenosis and operating results

作　　者：李家增 张建梅[2] 张电光[3] 宁国庆[4] 

机构地区：[1]山东省枣庄市峄城区中医医院,山东枣庄277300 [2]山东省医学影像学研究所,山东济南250021 [3]山东省经济管理干部学院卫生科,山东济南250026 [4]山东省立医院PETCT中心,山东济南250021

出　　处：《医学影像学杂志》2003年第8期581-582,共2页Journal of Medical Imaging

摘　　要：目的 :探讨先天性输尿管梗阻的影像表现与手术病理结果的相互关系。方法 :总结 36例经手术病理证实的输尿管梗阻 ,就其尿路造影征象及B型超声图像表现与手术所见病理结果进行比较。结果 :输尿管先天性狭窄发病率最高 ,共 2 7例 ,且多发生在输尿管上段。瓣膜状狭窄 4例 ,以输尿管粘膜皱折多见。外来血管压迫 2例 ,输尿管囊肿并狭窄2例 ,重复肾盂输尿管畸形并狭窄 1例 ,以上各类输尿管梗阻的影像表现与手术结果大致相符。结论Objective:To explore the correl ation between imagine feature of conge nital ureteral stenosis and operating results. Methods:Urography and ultrasonography findings were compared with pathology study in 36 ureteral obstruction cases which were c onfirmed by operation.Results:In the series,27 cases were congenital ureteral stenosis,the most of which were found in upper ur eter,4 cases were ureteral valvular stenosis.ureteral cyst with stenosis 2 cases ,compression of periureteral vessels 2 cases,duplicatie kidney and ureter with s tenosis lease.The image feature of all cases were nearly in accordance to operat ion.Conclusion:It is the best method for the di agnosis of congenytal vreteral stenosis to combine USG with urography.

关 键 词：先天性输尿管梗阻 X线诊断 超声检查 

分 类 号：R693.2[医药卫生—泌尿科学] R814.4[医药卫生—外科学]