【摘要】 目的探讨多层螺旋CT在输尿管占位性病变鉴别诊断中的应用价值。方法回顾性分析经病理证实的16例输尿管癌、4例输尿管子宫内膜异位和3例输尿管息肉的CT资料。结果16例输尿管癌的CT表现为管壁增厚3例、腔内充盈缺损7例和腔外肿块6例,合并后腹膜淋巴结肿大5例。4例输尿管子宫内膜异位者CT表现为腔外软组织肿块3例、腔内充盈缺损1例,合并附件囊性灶2例。3例输尿管息肉均表现为腔内充盈缺损。结论MSCT在鉴别输尿管占位性病变方面具有很高的临床应用价值。更多还原

【Abstract】 Objective To investigate the applied value of multi-slice spiral CT in the differential diagnosis of ureteral space occupying lesions.Methods The CT data of 16 patients with ureteral carcinoma,4 patients with ureteral endometriosis and 3 patients with ureteral polyp which confirmed by pathology were retrospectively analyzed.Results CT findings of 16 cases of ureteral carcinoma were ureteral wall thickening(3 cases),intraluminal filling defect(7 case),extraluminal mass(6 cases)and retroperitoneal enlarged lymph node(5 cases).CT findings of 4 cases of ureteral endometriosis were extraluminal mass(3 cases),intraluminal filling defect(1 cases),and combined with ovarian cyst(2 cases).CT findings of ureteral polyp were intraluminal filling defect in 3 cases.Conclusion multi-slice spiral CT has a high value in differential diagnosis of ureteral space occupying lesions.更多还原