运用CT三维图像融合技术对小儿肾盂输尿管连接部梗阻的血管关系研究被引量：1

Vascular study of ureteropelvic junction obstruction in children with 3D CT image fusion

下载PDF

导出

摘要目的利用CT图像融合技术研究肾盂输尿管交界部梗阻与肾血管的解剖关系,为手术提供解剖学资料。方法回顾重组37例UPJO患儿泌尿系统CT影像,测量患侧及健侧肾脏肾盂输尿管连接部与腹侧及背侧肾血管的距离。结果 1.肾积水侧较健侧UPJ与上方肾血管的距离增大。2.重度肾积水较之轻中度肾积水,UPJ与上方肾血管的距离增大。3.健侧UPJ与内上方肾血管距离背侧大于腹侧。结论术前泌尿系统CT检查结合图像融合技术,可快捷、准确显示肾盂与肾血管的关系,为泌尿外科手术提供解剖依据。 Objective The purpose of this study was to study the anatomical relationship between ureteropelvic junction obstruction( UPJO) and renal vessels for clinic using CT Image fusion. Methods A total of 37 images of CT urography,Measurement of the distance between the ureteropelvic junction( UPJ) and the ventral and dorsal renal vessels in the patient and the healthy side of the kidney. Results 1. The distance between the UPJ and the upper renal vessels in UPJO side is longer than in healthy side. 2. The distance between UPJ and the upper renal vessels in severe hydronephrosis is longer than in mild and moderate hydronephrosis. 3. In healthy side,the distance between the UPJ and the upper renal vessels dorsal was longer than the ventral side. Conclusion The relationship between the renal pelvis and renal vessels can be displayed quickly and accurately by CT examination and image fusion,which provides an anatomical basis for the surgery

作者朱昆何玲

机构地区重庆医科大学附属儿童医院放射科

出处《现代医学与健康研究电子杂志》 2018年第9期18-18,26,共2页 Modern Medicine and Health Research

关键词肾盂输尿管交界部梗阻肾动脉肾静脉 CT UPJO renal artery renal veins CT

分类号 R726.9 [医药卫生—儿科] R816.92 [医药卫生—放射医学]

引文网络
相关文献

参考文献1

1陈伟男,叶雄俊,刘士军,熊六林,黄晓波,徐涛,王晓峰.三种手术方式治疗肾盂输尿管连接部梗阻的疗效及并发症比较[J].北京大学学报（医学版）,2016,48(5):817-821. 被引量：7

二级参考文献24

1Khan F, Ahmed K, Lee N, et al. Management of ureteropelvic junction obstruction in adults[ J]. Nat Rev Urol, 2014, 11 (11 ) : 629 - 638.
2O' Reilly PH, Brooman PJ, Mak S, et al. The long-term results of Anderson-Hynes pyeloplasty [ J ]. BJU Int, 2001, 87 ( 4 ) : 287 - 289.
3Gogus C, Karamiirsel T, Tokatli Z, eta. Long-term results of An- derson Hynespyeloplasty in 180 adults in the era of endourologic procedures[ J ]. Urol Int, 2004, 73 ( 1 ) : 11 - 14.
4Sutherland DE, Jarrett TW. Surgical options in the management of ureteropelvic junction obstruction [ J]. Curr Urol Rep, 2009, 10 (1): 23 -28.
5Mei H, Pu J, Yang C, et al. Laparoscopic versus open pyeloplasty for ureteropelvic junction obstruction in children: a systematic re- view and meta-analysis[ J]. J Endourol, 2011, 25 (5): 727- 736.
6Rukin NJ, Ashdown DA, Patel P, et al. The role of percutaneous endopyelotomy for ureteropelvic junction obstruction [ J ]. Ann R Coil Surg Engl, 2007, 89(2) : 153 -156.
7Kapoor A, Allard CB. Laparoscopic pyeloplasty: the standard of care for ureteropelvic junction obstruction[ J]. Can Urol Assoc J, 2011, 5(2) : 136 -138.
8Symons SJ, Palit V, Biyani CS, et al. Minimally invasive surgical options for ureteropelvic junction obstruction: a significant step in the right direction[J]. Indian J Urol, 2009, 25( 1 ) : 27 -33.
9Bernardo NO, Smith AD. Percutaneous endopyelotomy [ J ]. Urology, 2000, 56(2): 322-327.
10Shalhav AL, Giusti G, Elbahnasy AM, et al. Adult endopyeloto- my : impact of etiology and antegrade versus retrograde approach on outcome[J]. JUrol, 1998, 160(3): 685 -689.