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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].第一军医大学学报,2003,23(2):181-182.
作者姓名:石志峰  陈卫国  李彦豪
作者单位:[1]第一军医大学南方医院放射科,广东广州510515 [2]蛇口人民医院放射科,广东深圳518067
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:影像诊断  黄色肉芽肿性肾盂肾炎  血管造影  B超  CT  误诊

Imaging diagnosis of xanthogranulomatous pyelonephritis: report of 6 cases]
Zhi-feng Shi,Wei-guo Chen,Yan-hao Li.Imaging diagnosis of xanthogranulomatous pyelonephritis: report of 6 cases][J].Journal of First Military Medical University,2003,23(2):181-182.
Authors:Zhi-feng Shi  Wei-guo Chen  Yan-hao Li
Institution:Department of Radiology, Shekou People's Hospital, Shenzhen 518067, China. szfsz@21cn.com
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 pathologically 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.
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