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超声引导经皮肾盂穿刺造影对非结石输尿管梗阻的诊断应用价值
引用本文:薛建设,王敦德,娄熙彬,陈华忠.超声引导经皮肾盂穿刺造影对非结石输尿管梗阻的诊断应用价值[J].中国超声医学杂志,1999,0(1).
作者姓名:薛建设  王敦德  娄熙彬  陈华忠
作者单位:350002,福州市解放军第476医院特诊科
摘    要:目的:探讨经皮肾穿刺造影对非结石性输尿管梗阻疾病的诊断价值。方法:应用超声和超声引导经皮肾穿刺造影检查31例中重度肾积水患者,并与手术病理对照。结果:超声诊断符合率为64.5%(20/31),不符合率为35.5%(11/31).超声引导经皮肾盂穿刺造影符合率为93.5%(29/31),不符合率为6.5%(2/31)。穿刺造影诊断符合率显著高于超声检查法,p<0.05。结论:超声引导下经皮肾盂穿刺造影可以提高上尿路梗阻疾病病因及定位诊断符合率,操作简便,安全,弥补了IVP和超声检查的不足,是一种明确中重度肾积水病因和梗阻部位的可靠诊断方法。

关 键 词:上尿路梗阻  超声引导经皮肾穿刺造影

Ultrasound-guided Percutaneous Pyeloureterography in Diagnosis of Upper Ureteral Tract Non-stone Obstruction
Xue Jianshe,Wang Dunde,Lou Xibin,et al.Ultrasound-guided Percutaneous Pyeloureterography in Diagnosis of Upper Ureteral Tract Non-stone Obstruction[J].Chinese Journal of Ultrasound in Medicine,1999,0(1).
Authors:Xue Jianshe  Wang Dunde  Lou Xibin  
Institution:Xue Jianshe,Wang Dunde,Lou Xibin,et al The 476th Hospital of PLA Fuzhou,Fuzhou 350002
Abstract:Objective:To evaluate the clinical value of ultrasound guided percutaneous pyeloureterography(UGPP)in diagnosis of upper ureteral tract non stone obstruction.Method:31 patients with severe hydronephrosis were examined by ultrasound and UGPP.The results compared with operation and pathology.Results:The coincidence rate of ultrasound and UGPP were 64 5%(20/31)and 93 5%(29/31)respectively.The Latter coincidence rate was higher ( p <0 05).Conclusion:UGPP is convenient and safe,more beneficial to disclose the etiopathogenesis of the upper ureteral tract obstruction.
Keywords:Upper ureteral tract obstruction  Ultrasound  guided percutaneous pyeloureterography  
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