摘要
目的:评价尿路造影检查对肾盂输尿管连接部梗阻的诊断价值。方法:本组38例均行静脉尿路造影,26例行逆行尿路造影,15例行经皮肾穿造影。结果:先天性PUJ狭窄18例,迷走血管9例,输尿管起始段扭曲或粘连折叠6例,高位输尿管3例,输尿管瓣膜1例,输尿管息肉1例。全部病例经手术证实。结论:静脉尿路造影、逆行尿路造影及经皮肾穿造影为最常用而有效的诊断方法,并可作出部分病因诊断。
Objective： To evaluate the diagnostic value of urography technique in pelviureteric junction （ PUJ ） obstruction. Methods ： Intravenous urography （ IVU ） was performed in all 38 cases. Based on IVU, retrograde pyelography was processed in 26 cases again. After above two techniques, percutaneous pyeloureterography was put into operation in the last 15 cases. Results：Of all 38 cases, 18 cases had congenital PUJ obstruction,9 cases aberrant renal vessel, 6 cases ureteral twist in initial segment, adhesion or urothelial fold, 3 cases ureteral anomaly, 1 case ureteral valve, and 1 case ureteral polyp. All of them were confirmed by surgery. Conclusion ： IVU, retrograde pyelography and percutaneous pyeloureterography are most commonly used and effective diagnostic methods, and may partly make the clearcut etiological diagnosis.
