摘要
目的:对比分析逆行尿路造影与其他影像学方法对肾盂输尿管连接部梗阻(UPJO)的诊断,评价逆行尿路造影在现代影像学方法中对该疾病的诊断价值。方法:回顾分析55例UPJO患者的临床资料。结果:B超检查48例,确诊15例,所有病例皆提示不同程度肾积水,未能做出病因诊断。静脉肾盂造影检查42例,20例确诊,8例做出病因诊断。逆行尿路造影检查28例,皆获确诊,25例做出病因诊断。MRU检查7例,皆获确诊,5例做出病因诊断。结论:逆行尿路造影确诊率高且有良好的病因诊断,但仍有其不足之处,检查对象应针对其他诊断方法未能诊断者和成人,可在手术前检查为手术提供指导。MRU检查对UPJO诊断效果好,在某些方面具有逆行尿路造影无可替代的优势。B超仅做为初步筛选和随访检查。静脉肾盂造影对肾积水和梗阻段病变严重的UPJO未能显示出临床诊断价值。
Objective：To compare retrograde urography with other imageological methods in diagnosis of UPJO and appreciate the value of retrograde urogram in diagnosis of UPJO in modernistic imageology. Methods： The clinical data of 55 patients with UPJO was retrospectively analyzed. Results：Forty eight cases were examed by B-ultrasound and 42 cases were examed by intravenous pyelography（IVP） and 28 cases were examed by retrograde urogram（RGU） and 7 cases were examed by MRU. Cases of definite diagnosis of B-ultrasound,IVP,RGU and MRU are 15,20,28 and 7, respectively. Cases of etiological diagnosis of them are 0,8,25 and 5, respectively. Conclusions： RGU has high rate of definite diagnosis and good etiological diagnosis,but it is still insufficient in diagnosis of UPJO. The object of examination should aim directly at adults and patients failing to diagnosis with other imageological methods. It can be performed preoperatively and supply a guide to operation. The effect of MRU is satisfactory and MRU is unique to RGU in some ways in diagnosis of UPJO.
出处
《临床泌尿外科杂志》
2007年第11期833-835,共3页
Journal of Clinical Urology
