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岭南现代临床外科 ›› 2010, Vol. 10 ›› Issue (01): 35-37.

• 临床研究 • 上一篇    下一篇

输尿管占位性病变的多层螺旋CT鉴别诊断

刘庆余1,傅文海2,汤日杰2,王峻2   

  1. 1. 中山大学附属第二医院
    2. 广州医学院附属肿瘤医院
  • 通讯作者: 刘庆余

Differential diagnosis of ureteral space occupying lesions by multi-slice spiral CT

  • Received:2009-12-24 Revised:2010-01-26 Online:2010-02-20 Published:2010-02-25

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。资料 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。

关键词: Ureter, Carcinoma, Endometriosis , polyp, Tomography,X-ray computed, 输尿管, 癌, 子宫内膜异位症, 息肉, 体层摄影术,X线计算机

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.

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