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MRU在小儿泌尿系梗阻的诊断意义
引用本文:王红,杨体泉,谭志忠,唐咸明,罗意革,陈嘉波,董淳强.MRU在小儿泌尿系梗阻的诊断意义[J].临床小儿外科杂志,2004,3(1):22-24.
作者姓名:王红  杨体泉  谭志忠  唐咸明  罗意革  陈嘉波  董淳强
作者单位:广西医科大学第一附属医院小儿外科,广西,南宁,530027
摘    要:目的 比较泌尿系梗阻的各种影像学诊断方法,讨论磁共振尿路造影(MRU)对泌尿系梗阻的诊断意义。方法 分析23例患儿术前行MRU检查的资料,与B超、静脉尿路造影(IVU)、逆行尿路造影、CTU等影像学诊断资料进行对比。结果 23例B超检查15例显示明确,静脉尿路造影有7例不显影或显影不清,CTU检查12例,其中8例显影,4例显影不清楚。MRU检查23例,均显影清楚。结论 MRU能显示无功能性肾脏集合系统,还有无需碘造影剂的优点,在儿童泌尿系梗阻辅助检查中有着重要作用。

关 键 词:MRU  小儿  泌尿系梗阻  诊断  影像学检查  磁共振尿路造影  B超  静脉尿路造影
文章编号:1671-6353(2004)01-0022-03

Diagnosis Significance of MRU in Ureteral Obstruction of Children
WANG Hong,YANG Ti-quan,TAN Zhi- zhong,et al..Diagnosis Significance of MRU in Ureteral Obstruction of Children[J].Journal of Clinical Pediatric Surgery,2004,3(1):22-24.
Authors:WANG Hong  YANG Ti-quan  TAN Zhi- zhong  
Institution:WANG Hong,YANG Ti-quan,TAN Zhi- zhong,et al. Department of Pediatric Surgery,The First Affiliated Hospital of Guangxi Medical University,Nanning 530027,China
Abstract:Objective To compare and evaluate diagnostic role of various imaging manifestation in the urinary tract obstruction. Methods 23 cases with urinary tract obstruction underwent B-ultrasound scanning, intravenous phelography(IVP), retrograde urography, CT scanning and magnetic resonance urography (MRU), and their findings were compared. Results B-ultrasound showed hydronephrosis in 15 cases of them, IVP provide for poor renal image in 7 cases. CT showed hydronephrosis in all 8 examined cases. MRU produced a good image in all cases. Conclusions Both B-ultrasound and IVP can be used as a first choice imaging for diagnosis of ureteral obstruction, MRU has the advantages of non-invasiveness, no ionizing radiation and could show the nonfunctional renal collecting tubules system.So it has important diagnotic value in congenital urinary tract obstruction of children.
Keywords:MRU  Congenital  Urinary tract obstruction  Diagnosis
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