摘要
报告资料完整经手术和病理证实的27例输尿管囊肿的超声诊断结果,其中4例为双侧病变共计31个囊肿,囊肿直径为0.4cm～4.2cm,超声诊断符合率为96.8％(30/31个)。作者根据超声所见输尿管囊肿的大小、形态和动态观察囊肿的变化,并结合手术和病理诊断结果,将输尿管囊肿分为三种类型:Ⅰ型:小型囊肿,直径0.4cm～1cm,外形似乳头状,本组共4例7个;Ⅱ型:圆形或椭圆形囊肿,其张力较高,本组共15例(15个),Ⅲ型:低张力型囊肿,外形呈长形或扁形,囊肿可随尿流向后尿道移动或不同程度阻断尿流,共8例9个。本文就输尿管囊肿的病理与超声显像的关系及超声鉴别诊断等问题进行了讨论。
Ultrasonographic manifestations of 27 cases of ureterocele with diagnosis confirmed by surgical and pathological examinations were reported. There were 4 cases of bilateral ureterocele and 31 cysts in 27 cases. The size of cysts ranged 0.4cm～4.2cm in diameter. The accurate rate in diagnosis by ultrasonography was 96.8％ (30/31). According to the different sonographic patterns of size, appearance, pathological features, and dynamic changes, ureterocysts could be divided into 3 type as followings. Type Ⅰ minute cyst, 4 cases with 7 cysts, 0.4cm～1cm in diameter and papillary in appearance. Type Ⅱ round or elliptical cyst, 15 cases with 15 cysts, hypertonic in appearance. Type Ⅲ hypotonic cyst, in 8 cases with 9 cysts, long or prolate in appearance, moved towards posterior urethra with urinary steam or interrupted urination in various degree. The differential diagnosis of ultrasonography and the relation between pathology and sonographic features of ureterocele were discussed.
出处
《中华超声影像学杂志》
CSCD
1997年第6期307-310,共4页
Chinese Journal of Ultrasonography
