肾结核的CT表现及其病理基础结合分析(1)
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[摘要]目的：加强肾结核CT表现的认识，进一步提高诊断准确率。材料与方法：收集本院1999年2月至2009年7月31例经临床病理证实肾结核患者的CT和临床资料，结合肾结核的病理基础结合分析。结果：左肾结核15例，右肾结核11例，双肾结核5例，共36个患肾，CT表现为结节状低密度灶6例，多发囊状影围绕肾盂呈“花瓣”状排列18例，肾实质钙化7例，合并输尿管壁增厚13例。讨论：肾结核的CT表现与结核灶存在的不同病变时期的病理改变密切相关，具有多样性和复杂性。
[关键词]肾结核；病理变化；CT征象；空洞；鉴别诊断
[Abstract]Objective: To strengthen the understanding of the performance of CT of renal tuberculosis, and further improve the diagnostic accuracy. Materials and Methods: A hospital from February 1999 to July 2009 31 cases of pathologically confirmed renal tuberculosis by clinical CT and clinical data of patients, combined with the pathological basis of renal tuberculosis combined analysis. Results: The left renal tuberculosis in 15 cases, right renal tuberculosis in 11 cases, kidneys tuberculosis in 5 cases, a total of 36 kidney patients, CT showed nodular low-density lesions in 6 cases, multiple cystic shadow around the pelvis was “petal”-like arrangement of 18 cases, renal parenchymal calcification in 7 cases, the merger of ureteral wall thickening in 13 cases ......
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