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笔者报告分析12例经手术病理证实的黄色肉芽肿性肾盂肾炎(XGPN)CT误诊病例,其中局限型9例,弥漫型3例。误诊原因:经验不足,对某些征象不认识;缺乏定性诊断的CT表现;并发其它疾病掩盖了XGPN的病征。并提出了防止误诊的措施:(1)加深对XGPN的认识;(2)掌握XGPN有诊断价值的CT征象;(3)密切结合临床;(4)晨尿离心沉渣涂片找泡沫细胞。
The author reported 12 cases of pathologically confirmed yellow granulomatous pyelonephritis (XGPN) CT misdiagnosed cases, of which 9 cases of localized type, diffuse in 3 cases. Misdiagnosis reasons: lack of experience, some signs do not know; lack of qualitative diagnosis of CT manifestations; concurrent other diseases cover the symptoms of XGPN. And put forward measures to prevent misdiagnosis: (1) to deepen the understanding of XGPN; (2) to master the diagnostic value of XGPN CT signs; (3) closely combined with clinical; (4) morning urine centrifugal sediment smears looking for foam cells.