摘要
目的 :评价超声检查和X线尿路造影在输尿管狭窄中的诊断价值 ,帮助临床医生合理地选择检查方法。方法 :本组 98例输尿管狭窄的患者均作了超声及静脉尿路造影检查 ,36例作了逆行尿路造影。结果 :超声、静脉尿路造影、逆行尿路造影对输尿管狭窄定位诊断的总符合率分别为 6 6 .3%、86 .7%和 94.4%。不同检查方法对不同部位诊断的符合率不同 ,对肾盂输尿管移行区 ,输尿管末端 ,肾盂输尿管移行区～输尿管末端之间诊断符合率超声分别为 83.3%、75 %和33.3% ,静脉尿路造影分别为 79.2 %、95 %和 93.3% ,逆行尿路造影分别为 95 %、75 %和 10 0 %。对输尿管狭窄病因的诊断符合率超声为 42 .9% ,静脉尿路造影为 78.6 % ,逆行尿路造影 94.4%。结论 :尿路造影是诊断输尿管狭窄的可靠方法 ,超声因经济。
Objective:To evaluate the diagnostic value of some imaging examination including ultrasonography and X ray urography for the patients with ureteral stenosis.Methods:In 98 cases,all of them underwent ultrasonography(US) and intravenous pyelography(IVP),36 cases retrogradepyelography(RPP).Results:Neither for the site nor for the causes of ureteral stenosis are the sensitivities same by US,IVP and RPP.The total sensitivities for the site are 66.3,86.7% and 94.4% by US,IVP and RPP respectively.The sensitivities for the ureteropelvic junction(UPJ),the end of ureter and the segment from UPJ to the end of ureter are 83.3%,75%,33.3% by US,79.2%,95%,93.3% by IVP,and 95%,75%,100% by RPP.The sensitivities for the causes of ureteral stenosis are 42.9% by US,78.6% by IVP and 94.4% by RPP.Conclusion:X-ray urogaphy is the most sensitive method,US should be the first choice one for the diagnosis of ureteral stenosis.
出处
《医学影像学杂志》
2001年第3期176-178,共3页
Journal of Medical Imaging
