摘要
目的:探讨先天性输尿管异常的影像学表现.方法:搜集26例先天性输尿管异常的患者,男12例,女14例,年龄9～64岁.26例均行IVP检查,24例行B超检查,4例行肾盂逆行造影,3例行CT扫描,2例行CT增强扫描,9例经手术证实.结果:肾盂、输尿管重复畸形3例(双侧1例,单侧2例);单侧双肾盂、单输尿管畸形和单侧双肾盂、部分双输尿管畸形各6例;单侧双肾盂、双输尿管并异位开口2例,单侧肾发育不良位置异常并输尿管开异位1例;单介输尿管狭窄5例(肾盂、输尿管交界处4例,下段输尿管1例);巨输尿管、输尿管囊肿、迷走血管压迫等各1例.结论:先天性输尿管异常的检查方法首选IVP,遇患侧肾脏不显影时应行肾盂逆行造影检查,多数可明确诊断.B超检查和CT扫描对诊断均有帮助.
Objective:To study the imaging findings of the congenital abnormal ureter.Methods:All of 26 cases,female 14,male 12,age 9～64,were examined with intravenous pyelogram (IVP).24 cases with US,4 cases with retrograde pyelography,3 cases with plain CT scan, 2 cases with contrast CT scan,9 cases with operation.Results:3 patients with double pelves and double ureter (double side 2 cases,single side 1 case).The number of with single side double pelves with single ureter and with single side double pelves with party double ureter are 6 patients.3 cases with single side double pelves with double ureter and ectopic opening,5 cases with single side stricture of ureter.1 case with cyst of ureter,1 case with press artery of ectopic.Conclusion:For congenital abnormal ureter,the first technique was intravenous pyelogram (IVP) and retrograde pyelography if patients' kidney was not finding.By doing so most of congenital abnormal ureter could be surely diagnosis.The technique of US and CT scan are helpful.
出处
《医学影像学杂志》
2005年第5期401-402,共2页
Journal of Medical Imaging
