多囊肾影像学检查诊断价值
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【摘要】 目的 探讨影像学对成人多囊肾的诊断价值。方法 本组70例均经肾穿刺、手术、病理和较完整的临床资料证实,其中8例合并肾钙乳。对其各种主要影像学征象、发病机理及病理基础进行了分析和讨论。结果 成人多囊肾的主要影像学征象:腹部平片(45 例)显示肾影呈分叶状增大;囊壁钙化(14例);多囊肾合并肾钙乳(8例);肾盂造影(61例),表现为肾盂、肾盏相互分离、变形、拉长;腹膜后充气造影(6例):表现为肾影增大肾影与邻近器官之间的关系,其界限清晰可辨;CT扫描(30例):表现为肾内多数大小不等的薄壁圆形低密度区;B型超声(47例)表现为肾内多个类圆形无回声的液性暗区。结论 影像学检查有助于提高多囊肾的诊断的准确性。
【关键词】 多囊肾;X线摄影;超声;体层摄影,X线计算机
作者单位:137400内蒙古乌兰浩特市医院放射科
【Abstract】 Objective To investigate the imaging diagnosis of adult polycystic kidney disease. Methods 70 cases were characterized by renal biopsy, surgery, pathology and clinical data confirm that a more complete, of which eight cases of renal milk of calcium. The major signs of its imaging, pathogenesis and pathological basis of the analysis and discussion. Results The main imaging of adult polycystic kidney disease signs: abdominal plain film (45 cases) showed renal shadow was lobulated increase; cystic wall calcification (14 cases); polycystic kidney disease and renal milk of calcium (8 cases); pelvis angiography (61 cases), the performance of the renal pelvis, renal calices separated, distorted, elongated; retroperitoneal inflatable angiography (6 cases): Performance increases of renal kidney shadow Shadow and the relationship between the neighboring organs, its boundaries clear and identified; CT scan (30 cases): the performance of the majority of the size of the renal low-density areas, ranging from thin-walled circular; B-mode ultrasonography (47 cases) showed a circular echo-free renal multiple classes of liquid dark area ......
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