极泌尿系统先天发育畸形CT尿路成像影像特征分析

目的探讨CT尿路成像对泌尿系统先天性发育畸形的价值。方法回顾性分析我院2014年1月-2016年1月期间接收并经手术病理确诊的30例泌尿系统先天畸形患者,行CT平扫、增强扫描、容积(VR)重建,并对泌尿系统先天异常病种特征进行综合分析。结果泌尿系统肾脏畸形病种中,肾脏异位12例,孤立肾6例,肾异常旋转3例(盘状肾2例、马蹄肾1例),囊性不良发育肾6例,融合肾畸形3例。重肾重输尿管畸形17例(单侧重复肾重输尿管畸形13例、双侧重复肾畸4例)。结论 CT平扫、增强扫描、容积(VR)重建在对30例泌尿系统先天发育畸形病种诊断过程中,全方位可靠的呈现了病变之间的关系和解剖结构,发挥了CT的优势,弥补其他影像学检查方法的缺点,大程度的降低了临床上的漏诊率和误诊率,对临床上的诊断和治疗提供了指导意义。

CT Urine Road Image Formation Feature Analysis of Urinary System Congenital Abnormality

Objective To investigate the value of CT urine road image formation on urinary system congenital abnormality.Methods 30 cases with urinary system congenital abnormality in our hospital from January 2014 to January 2016 were selected and given CT scan,enhancement scan,volume reconstruction.Analyze the congenital anomalies diseases of urinary system.Results In renal malformations diseases of urinary system,12 cases ectopic kidney,6 cases solitary kidney,3 cases renal improper rotation (2 cases discoid kidney,1 case horseshoe kidney),6 cases cystic dysplasia kidney,3 cases fused kidney,17 cases double kidney with duplicate ureters (13 cases unilateral double kidney with duplicate ureters,4 cases bilateral double kidney with duplicate ureters).Conclusion In the treatment of 30 cases with urinary system congenital abnormality,CT scan,enhancement scan and volume reconstruction can factually show mutual relation and anatomical structure of lesion.It can louwer the missed diagnosis and misdiagnosis rate by large degree and provide guiding significance on clinic treatment.