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目的总结肾结核CT表现与DR静脉肾盂造影对比分析。方法回顾我院随访治愈和手术病理证实40例CT与DR造影征象对照。结果 1肾脏造影:诊断明确25例,肾盂肾盏形态不规则,杯口破坏,9例肾盂积水,5例输尿管积水、2例输尿管呈现“串珠样”改变。诊断不明确15例。2 CT:40例肾脏实质破坏,32例多发空洞,聚拢排列呈“花瓣”状,左肾自截并右肾结核1例,肾盂肾盏积水12例,输尿管积水5例,肾功能减退25例,35例手术病理结果,单侧肾结核空洞病变25例,肾结核合并输尿管结核12例,肾结核合并肾盂输尿管积水8例,肾结核合并腹膜后淋巴结核1例,肾自截无排泄功能3例。结论肾结核CT与DR静脉肾盂造影结合,病变形态、部位、比邻关系及功能,尤其单侧肾脏排泄功能诊断,更好为临床外科手术方案的确定提供重要依据。
Objective To summarize the contrast between CT manifestations of renal tuberculosis and intravenous pyelography. Methods A retrospective study in our hospital was followed up cured and surgical pathology confirmed 40 cases of CT and DR contrast signs. Results 1 Renal angiography: The diagnosis of 25 cases of clear, irregular renal pelvis calyx, cup mouth destruction, 9 cases of hydronephrosis, 5 cases of hydronephrosis, 2 cases of ureteral presentation “beaded” change. Diagnosis is not clear in 15 cases. 2 CT: 40 cases of renal destruction, 32 cases of multiple cavities, gathered arranged “Petal ” shape, the left kidney since the cut and right renal tuberculosis in 1 case, pyelonephrosis in 12 cases, ureteral hydronephrosis in 5 cases, kidney 25 cases of hypofunction, 35 cases of surgical pathology, unilateral renal tuberculosis lesions in 25 cases, 12 cases of renal tuberculosis complicated by ureteral tuberculosis, tuberculous ureteropelvic plexus in 8 cases, renal tuberculosis with retroperitoneal lymph node in 1 case, renal No excretion function in 3 cases. Conclusions The combination of renal tuberculosis CT and DR pyelography, lesion morphology, site, adjacent relationship and function, especially diagnosis of unilateral renal excretion function, may provide an important basis for the determination of clinical surgical plans.