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磁共振尿路造影在临床泌尿道梗阻中的诊断价值

Diagnostic value of MR urography in urinary tract obstruction

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【作者】 应援宁韩悦廉宗澂

【Author】 Ying Yuanning, HAN Yue, LIAN Zongcheng. (Department of Radiology,The Second Hospital of Tianjin Medical University,Tianjin 300211)

【机构】 天津医科大学第二医院放射科天津医科大学第二医院放射科 300211天津市300211天津市300211天津市

【摘要】 目的:评估磁共振尿路造影在临床泌尿道梗阻中的诊断价值。方法:回顾性对61例泌尿系梗阻患者的 MRU检查所见与手术和病理结果对照分析。结果:61例泌尿系梗阻患者中,输尿管癌7例,输尿管结石8例,下腔静脉后输尿管1例,输尿管良性狭窄11例,先天性输尿管狭窄27例,膀胱癌侵及输尿管4例,泌尿系改道手术后再次发生良性梗阻患者3 例。所有病例MRU均确定梗阻水平并且清晰显示梗阻端形态和特征。结论:MRU是一种安全、可靠、无创的检查方法,尤对IVU不显影或仅显示扩张的肾盏、肾盂影的重度肾积水病例或对对比剂过敏的患者更有诊断价值。

【Abstract】 Objective:To assess the diagnostic value of MR urography (MRU) in urinary obstruction.Methods:Sixty-one patients with urinary obstruction were performed MRU.Their image findings were retrospectively analyzed and correlated with the surgical and pathological findings.Results:61 cases of urinary obstruction included ureteral carcinoma in 7,ureteral calculus in 8,retrocaval ureter in 1,benign ureteral stricture in 11,congenital ureteral stricture in 27,invasion of ureter from bladder carcinoma in 4,recurrent benign ureteral obstructure after operation of urinary diversion in 3.MRU of all the patients documented the site,shape and features of urinary obstruction.Conclusion:MRU is a safe,noninvasive and effective method in the diagnosis of urinary obstruction,particularly for the patients with non-visualisation or severe hydronephrosis on intravenous urogram or patients allergic to iodine.

  • 【文献出处】 放射学实践 ,Radiologic Practice , 编辑部邮箱 ,2002年02期
  • 【分类号】R445.2
  • 【被引频次】6
  • 【下载频次】39
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