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肾结核磁共振尿路成像特点及与病理变化的关系
引用本文:赵耀瑞,孙光,王文成,徐勇,畅继武,韩瑞发,马腾骧. 肾结核磁共振尿路成像特点及与病理变化的关系[J]. 中华泌尿外科杂志, 2003, 24(5): 303-304
作者姓名:赵耀瑞  孙光  王文成  徐勇  畅继武  韩瑞发  马腾骧
作者单位:300211,天津医科大学第二医院泌尿外科,天津市泌尿外科研究所
摘    要:目的 探讨磁共振尿路成像(MRU)在肾结核诊断中的价值。方法 18例IVU不显影或IVU显影不良的肾结核患者行MRU,术后结合病理标本分析形成这些影像持点的病理基础。结果 MRU主要影像表现为肾乳头破坏(14例)、肾盏颈部狭窄(14例)、肾盏扩张而肾盂不扩张(10例)、输尿管僵直或狭窄(13例),可反映出肾结核时尿路不同部位破坏、溃疡、形成空洞与纤维化修复的病理特点。结论 MRU可作为IVU的辅助手段用于肾结核诊断,可提供诊断依据并帮助选择治疗方案。

关 键 词:肾结核 诊断 磁共振尿路成像 病理变化
修稿时间:2002-06-09

MRU features of renal tuberculosis in relation to pathologic changes
ZHAO Yao-rui,SUN Guang,WANG Wen-cheng,et al.. MRU features of renal tuberculosis in relation to pathologic changes[J]. Chinese Journal of Urology, 2003, 24(5): 303-304
Authors:ZHAO Yao-rui  SUN Guang  WANG Wen-cheng  et al.
Affiliation:ZHAO Yao-rui,SUN Guang,WANG Wen-cheng,et al.Department of Urology,Second Hospital of Tianjin Medical University,Institute of Urology,Tianjin 300211,China
Abstract:Objective To evaluate the diagnostic value of MR urography(MRU) in the diagnosis of renal tuberculosis. Methods MRU features of 18 cases of renal tuberculosis,nonvisualized or poorly visualized in IVU,were analyzed and compared with pathologic findings. Results MRU provided high-resolution images of the kidneys and upper urinary tract in all patients.MRU features of renal tuberculosis and corresponding pathologic changes were summarized. Conclusions MRU has a great value in diagnosing renal tuberculosis when the kidneys are nonvisualized or poorly visualized in IVU.It can provide diagnostic evidence and is helpful with choice of the therapeutic strategy.
Keywords:Renal tuberculosis  Magnetic resonance urography
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