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黄色肉芽肿性肾盂肾炎综合影像诊断(附6例报告)
引用本文:石志峰,陈卫国,李彦豪.黄色肉芽肿性肾盂肾炎综合影像诊断(附6例报告)[J].南方医科大学学报,2003,23(2):181-182.
作者姓名:石志峰  陈卫国  李彦豪
作者单位:1. 蛇口人民医院放射科,广东,深圳,518067
2. 第一军医大学南方医院放射科,广东广州,510515
摘    要:目的探讨黄色肉芽肿性肾盂肾炎(XGP)的综合影像诊断,尤其是对其血管造影的认识。方法回顾性分析6例经病理证实XGP的静脉肾盂造影、B超、CT及肾动脉造影所见,并作文献复习。结果4例术前诊断XGP,2例误诊为肾脓肿。肾动脉造影具有相对特征性,临床资料及综合影像分析有助于诊断。结论肾动脉造影是XGP诊断与鉴别诊断的主要方法。

关 键 词:肾盂肾炎  黄肉芽肿性/诊断
文章编号:1000-2588(2003)02-0181-02
修稿时间:2002年8月14日

Imaging diagnosis of xanthogranulomatous pyelonephritis: report of 6 cases
SHI Zhi-feng ,CHEN Wei-guo ,LI Yan-hao.Imaging diagnosis of xanthogranulomatous pyelonephritis: report of 6 cases[J].Journal of Southern Medical University,2003,23(2):181-182.
Authors:SHI Zhi-feng  CHEN Wei-guo  LI Yan-hao
Institution:SHI Zhi-feng 1,CHEN Wei-guo 2,LI Yan-hao 21 Department of Radiology,Shekou People's Hospital,Shenzhen 518067,China, 2 Department of Radiology,Nanfang Hospital,First Military Medical University,Guangzhou 510515,China
Abstract:Objective To explore the imaging diagnosis of xanthogranulomatous pyelonephritis (XGP), especially the value of angiography. Methods Combined with literature review, a retrospective analysis was conducted of the imaging data of 6 pathologi- cally confirmed XGP cases as an attempt to define the preoperative diagnosis of the disease. Results Four cases of XGP were diagnosed preoperatively, and 2 were misdiagnosed as renal abscess. Renal arteriography revealed more characteristic changes, and the diagnosis of XGP relied on the clinical presentations and multiple imaging examinations. Conclusion Renal arteriography is the principal approach in the diagnosis and differential diagnosis of XGP.
Keywords:pyelonephritis  xanthogranulomatous/diagnosis
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