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肾结核的CT诊断
引用本文:吴改英,王汀,李平,张昕.肾结核的CT诊断[J].实用医学影像杂志,2003,4(1):13-15.
作者姓名:吴改英  王汀  李平  张昕
作者单位:太原市中心医院影像科,太原市,030009
摘    要:目的 探讨肾结核的CT表现及其诊断价值。方法 回顾性复习了29例肾结核的CT检查所见。结果 CT检查肾结核(重点探讨临床型肾结核)依病情发展的琐阶段及相应的病理变化而出现不同的CT表现。“花瓣”状的铮低密度影及钙化是肾结核较为特征性表现,肾积水,肾功能丧失。自截肾是肾结核的晚期表现。结论 CT检查对肾结核具有较高的诊断价值。多数病例结合临床和实验室资料可获得正确诊断。

关 键 词:肾结核  CT  诊断  断层摄影术  X线计算机
文章编号:1009-6817(2003)01-0013-03
修稿时间:2002年6月6日

CT diagnosis of renal tuberculosis
Wu Gaiying,Wang Ting,Li Ping,et al..CT diagnosis of renal tuberculosis[J].Journal of Practical Medical Imaging,2003,4(1):13-15.
Authors:Wu Gaiying  Wang Ting  Li Ping  
Institution:Wu Gaiying,Wang Ting,Li Ping,et al.Shanxi Provincial Taiyuan- Municipal Central Hospital,Taiyuan 030009
Abstract:Objective To understand CT features of renal tuberculosis (RTB).Methods CT findings of 29 patients with clinically proven RTB were analyzed retrospectively.Results The study suggested that RTB could show variable CT findings with different stages of the infection.Early RTB presented as multiple petaloid hypodense lesions and calcified shadows,whereas late- tage characteristic findings were hydronephrosis,nonfunctioning kidney and "autonephrectomized"kidney.Conclusion CT scaning is the most valuable procedure to diagnose RTB.When CT findings of RTB are atypical,the definite diagnosis needs to combine with clinical and laboratory data.
Keywords:Kidney  Tuberculosis  Tomography  x- ray computed  
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