摘要
目的 研究B型超声和静脉肾盂造影术(IVP)对小儿肾重复畸形(以下简称重肾)的影像诊断价值。方法 回顾性对比分析了32例(34个)经病理证实的重肾的手术发现、B超和IVP的影像表现。结果 12例重度积水型重肾,B超对9例作出诊断,2例提示性诊断,而IVP仅对4例提示性诊断;11例轻-中度积水型重肾,B超对10例作出诊断,而IVP对5例作出诊断,3例提示性诊断;8例发育不良型重肾,B超对5例作出诊断,1例提示性诊断,而IVP仅对2例作诊断;3例发育型重肾,IVP均作出诊断,而B超仅对1例作出诊断。结论 对积水型重肾,尤其重度积水型和发育不良型重肾,B超诊断优于IVP;而对发育型重肾,IVP的诊断强于B超。因此。
Objective To study the diagnostic value of B ultrasound(BUS) in the diagnosis of childhood renal duplication anomaly(CRDA) in comparison with intravenous pyelography(IVP).Methods Thirty two cases (34 anomalies) CRDA proved by pathology were included into the study.The imaging manifestation of BUS and IVP were restrospectively analysed in accordance with surgical findings.Results For 12 CRDA cases with severe hydronephrosis,BUS was diagnostic in 9 cases and suggestive in 2 cases,while IVP was only suggestivc in 4 cases;For 11 cases with mild to moderate hydronephrosis,BUS made correct diagnosis for 10 cases,IVP was correct in 5 cases;For 8 CRDA of maldeveloped type,BUS made diagnosis for 5 and was suggestive for 1,IVP was correct for 2;For 3 cases CRDA of developed type,IVP was correct for all while BUS was correct only for 1 case.Conclusions BUS is superior to IVP in the imaging diagnosis of CRDA with better abnormality detection and characterization.The combined use of BUS and IVP will further improve the diagnostic accuracy for CRDA.B ultrasounddia
出处
《中华超声影像学杂志》
CSCD
2000年第2期101-103,共3页
Chinese Journal of Ultrasonography
