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超声显像对肾结核的诊断价值 总被引:1,自引:0,他引:1
肾结核是泌尿生殖系统结核中常见疾病之一,其病理变化复杂多样,其差别亦很大,为进一步探讨超声显像对肾结核的诊断价值,我们对我院1994年至2003年经手术及病理证实的68例肾结核进行总结,以期提高对肾结核声像图的认识,寻找超声诊断肾结核的规律。 相似文献
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目的探讨临床型肾结核的超声声像图特征。方法回顾分析42例50个病肾肾结核住院患者的病例资料,总结肾结核的超声声像图特征。结果超声诊断符合率62%。主要超声声像图特征:(1)肾实质内单发或多发低回声或无回声结构31个肾,占62%;(2)肾盂肾盏扩张27个肾,占54%;(3)合并输尿管结核18例,21个肾,占42%;(4)肾萎缩并钙化3个肾,占6%。结论临床型肾结核超声表现呈多样性,但仍有一定特征,结合临床可作出初步诊断。 相似文献
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肾结核的CT诊断 总被引:10,自引:0,他引:10
目的探讨肾结核CT扫描的影像特征及其鉴别诊断.材料与方法分析经手术病理证实或临床综合诊断的69例肾结核的CT表现.结果CT反映肾结核病理特征常有(1)肾髓质多发空洞或脓腔形成(88.4%),常呈囊状低密影并围绕肾盂似"花瓣状”排列;(2)肾皮质局部或普遍萎缩变薄(78.3%);(3)肾盂及输尿管壁普遍增厚(65.2%),管腔狭窄或扩张;(4)自髓质空洞壁逐渐出现的点线、蛋壳、球形或肾形钙化(34.8%).而肾脏的体积增大或缩小、外形分叶、积水或积脓及功能损害是常见的继发改变.髓质肾结核常常先侵犯肾上极,再继续波及全肾.结论CT对肾结核的诊断及制定治疗方案具有重要价值,熟悉CT表现并密切结合临床是正确诊断的关键. 相似文献
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目的:探讨超声诊断和鉴别诊断急性睾丸疾病的价值.材料和方法:回顾性分析78例急性睾丸疾病患者的睾丸超声表现,并与临床、手术及病理结果进行对照分析. 结果:12例睾丸肿瘤瘤体较大,内部回声杂乱不均匀,病灶区血管走行不规则或呈"树枝状"分布,5例伴有钙化灶;26例睾丸外伤阴囊壁水肿增厚,病变部位回声减弱并与液性暗区混杂分布,彩色血流减少,周围组织彩色血流增强;21例急性睾丸炎患侧睾丸肿大,实质血流分布异常丰富呈五彩镶嵌的"彩球样"; 18例睾丸扭转患侧睾丸血流明显少于健侧或血流消失;1例睾丸结核病侧睾丸回声极不均匀,多种回声混杂分布. 结论:超声能够对各种急性睾丸疾病做出快速、准确的诊断和鉴别诊断. 相似文献
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目的:探讨肾结核的CT表现及鉴别诊断。方法:分析经临床及手术病理证实的65例肾结核的CT表现。CT表现:1.肾实质内单发或多发脓腔;2.肾盂、输尿管壁增厚;3.肾积水、肾皮质变薄、肾功能损害;4.斑点状、线状钙化;结论:CT对中晚期肾结核诊断具有特异性,可作为影像检查首选。 相似文献
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目的 探讨CT诊断肾结核的临床效果,并对引起CT误诊的相关因素进行分析.方法 选取经病理组织学证实为肾结核的32例患者分别行B超及CT检查,并与病理组织学结果进行对比.结果 经病理组织学证实Ⅰ型肾结核 7例,Ⅱ型肾结核 8例,Ⅲ型肾结核 6例,Ⅳ型肾结核 6例,Ⅴ型 5例.CT诊断中Ⅰ型肾结核7例,Ⅱ型肾结核 6例,Ⅲ型肾结核 6例,Ⅳ型肾结核 6例,Ⅴ型7例,符合率为93.75%(30例).B超诊断证实Ⅰ型肾结核6例,Ⅱ型肾结核 8例,Ⅲ型肾结核 7例,Ⅳ型肾结核 7例,Ⅴ型 4例,符合率为81.25%(26例).与B超诊断相比,CT诊断符合率较高,差异有统计学意义(P〈0.05).CT诊断中有2例(6.25%)患者出现误诊,1例将其诊断为肾囊肿,1例为假性动脉瘤合并脓肿误诊为结核.结论 对肾结核患者应用CT诊断具有较高的诊断价值,可作为临床诊断肾结核的重要手段. 相似文献
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Ultrasonographic diagnosis in abdominal tuberculosis 总被引:2,自引:0,他引:2
Sonographic findings were retrospectively analysed in 39 patients with proven abdominal tuberculosis (TB). The patients were treated over 15 years at a major teaching hospital, Mubarak Al-Kabber Hospital, in Kuwait. The findings included clear or complex ascites with fine strands, loculations and debris. The other findings were lymphadenopathy, bowel wall thickening, omental mass, focal lesions in the liver and spleen and psoas abscess. The sonographic findings in abdominal TB are not specific but may give valuable information to prevent unnecessary laparotomy. 相似文献
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Philip W. Ralls M.D. Patrick Colletti Donald C. Boger Michael F. Quinn James Halls 《Urologic radiology》1981,2(1):23-24
Perirenal hematoma is an uncommon, but significant complication of renal biopsy. Ultrasound provides a quick, non-invasive means of diagnosis. 相似文献
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Technical complications following renal transplantation contribute significantly to graft loss, morbidity, and mortality. Since these patients are immunosuppressed such complications are life-threatening and require early diagnosis and management. Vesical extravasation is a major complication usually evident in the early posttransplant period and occurs more commonly in diabetic patients, and those with multiple prior bladder operations, persistent outflow obstruction, and urinary tract infection. The detection of vesical leakage by real-time ultrasound examination is described. 相似文献
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Reuven Rabinovici M.D. Avraham Rivkind Pinchas D. Lebensart Yacov Berlatzky 《Urologic radiology》1986,8(1):112-113
Technical complications following renal transplantation contribute significantly to graft loss, morbidity, and mortality. Since these patients are immunosuppressed such complications are life-threatening and require early diagnosis and management. Vesical extravasation is a major complication usually evident in the early posttransplant period and occurs more commonly in diabetic patients, and those with multiple prior bladder operations, persistent outflow obstruction, and urinary tract infection. The detection of vesical leakage by real-time ultrasound examination is described. 相似文献
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肾结核(renal Iuberculosis)是全身结核病的一部分,约占全身结核病变的30%,多来源于其他部位的结核病灶。对肾结核的诊断及治疗迄今仍是一个尚未完全解决的问题,近年来随着影像设备、技术的发展,结合临床及化验室检查,常可得到正确的诊断。影像检查方案的选择对于肾结核的诊断和避免不必要的检查是十分重要的。笔者复习有关国内外文献,对肾结核的影像表现及合理选择检查方案作一综述。 相似文献
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