输尿管下段梗阻性病变的腔内超声诊断  

Diagnosing lower ureteral obstruent disease using intraluminal sonograghy

作　　者：刘桂梅[1] 何文[1] 于泽兴 邢念增[2] 张力萍[1] 姜晓红[1] 

机构地区：[1]首都医科大学附属北京朝阳医院超声医学科,北京100020 [2]首都医科大学附属北京朝阳医院泌尿科,北京100020

出　　处：《中国医学影像技术》2004年第5期678-679,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　评价腔内超声结合彩色多普勒血流显像对输尿管下段梗阻性病变的诊断价值。方法　对腹部超声可疑输尿管下段梗阻性病变的 3 9例患者 ,应用腔内超声 (经直肠或经阴道 )结合彩色多普勒血流显像 (CDFI)检查盆段输尿管。结果　 3 9例患者中 ,明确诊断 3 8例 ,其中输尿管结石 3 3例 ;输尿管癌 4例 ;输尿管手术后瘢痕狭窄 1例 ;1例输尿管炎性狭窄 ,误诊为输尿管末端小囊肿。结论　腔内超声结合CDFI为临床诊断输尿管下段梗阻性病变提供了一个无创 。Objective To evaluate the value of intraluminal sonograghy together with color Doppler imaging in the diagnosis of lower ureteral obstructing lesions. Methods A total of 39 patients with suspected lower ureteral obstruction were recruited for the evaluation by intraluminal sonograghy (through rectum or vigina) together with color Doppler imaging (CDFI). Results The correct diagnosis was made in 38 of these patients,including 33 ureteral stones, 4 ureteral carcinoma,1 ureteral stricture caused by surgical scarring. 1 misdiagnosis of tiny lower ureteral cyst was made in a patient who actually suffers from ureteral inflammatory stricture. Conclusion Intraluminal sonograghy, together with CDFI, is safe, cheap and useful in patients with lower ureteral lesions,providing better results than abdominal sonograghy.

关 键 词：输尿管下段 结石 肿瘤 腔内超声 

分 类 号：R691.2[医药卫生—泌尿科学] R445.1[医药卫生—外科学]