泌尿系统CT增强后静脉泌尿系造影对输尿管病变的诊断价值

摘要

Objective:To investigate the diagnostic value of intravenous pyelography after CT enhancement of urinary system in the diagnosis of ureteral diseases.Methods:We used intravenous pyelography after CT enhancement of urinary system for patients who not only need CT enhancement but also need IVP.Results:Ureteral calculi in 11 cases,duplication of renal pelvis and ureter in 2 cases,1 case with ureter cyst,1 case of ureter after inferior vena cava,horseshoe kidney in 2 cases,1 case with transitional cell carcinoma of ureter,neurogenic bladder causing ureteral dilatation in 1 case,colorectal cancer and uterine sarcoma recurrence invading the ureter in 1 case respectively.Conclusion:Intravenous pyelography after CT enhancement of urinary system can significantly improve the level of diagnosis of ureteral lesions.%目的：探讨泌尿系统CT增强后静脉泌尿系造影(IVP)对输尿管病变的诊断价值。方法：对既需要CT增强，又需要IVP的患者21例在泌尿系统CT增强后IVP。结果：输尿管结石11例；肾盂输尿管重复畸形2例；输尿管囊肿1例；下腔静脉后输尿管1例；马蹄肾2例；输尿管移行上皮癌1例；神经源性膀胱引起输尿管扩张1例；直肠癌及子宫肉瘤复发侵及输尿管各1例。结论：CT增强后IVP检查能显著提高输尿管病变的诊断水平。