彩色多普勒超声诊断输尿管囊肿6例

彩色多普勒超声诊断胎儿泌尿系发育不良的诊断价值【摘要】目的探讨彩色多普勒超声诊断胎儿泌尿系发育不良的声像图特证和临床价值。

方法用彩色多普勒常规检查胎儿泌尿系发育不良情况。

结果26例胎儿泌尿系发育不良中，16例为肾积水，5例为多囊性发育不良肾，1例孤立性肾囊肿，4例下尿路梗阻。

结论胎儿泌尿系是产科超声检查的重要组成部分；产前超声成像技术对胎儿泌尿生殖系统的正常或异常解剖结构较易显示，目前已成为胎儿泌尿系发育不良的有效诊断工具。

【关键词】胎儿泌尿系发育不良彩色多普勒诊断。

中图分类号：r445.14 文献标识码：b 文章编号：1005-0515（2011）5-384-02diagnostic value of diagnose of chromatic doppler ultrasound for fetus’ urinary abnormal development mingyezhangthe first hospital in weinan、shaanxi、weinan 714000 【abstract】purpose research on the feature and clinic value of sound and image by chromatic doppler ultrasound for fetus’ urinary abnormal development method:check fetus’urinary abnormal development with chromatic dopplerultrasoundresult in 26 cases of fetus’ urinary abnormal development, 16 cases are duplication of kidney; 5 cases are polycystic abnormal development; 1case is cyst ofkidney; 4 cases are urinary obstruction in lower position. conclusion fetus’ urinary system is an essential part of ultrasound examination in gynecology. before-delivery ultrasound imaging technique can easily display if the anatomical structure of fetus’ urinary system is normal, which becomes to be an effective diagnostic tool to check fetus’ urinary abnormal development.【key words】 fetus’ urinary abnormal developmentchromatic doppler ultrasound胎儿泌尿系统包括双肾，输尿管、膀胱和尿道。

【论著】输尿管末端囊肿的超声诊断价值孔庆锋，董洋，郭丙成，王东光（山东济宁市第一人民医院超声科，山东济宁272111）【摘要】目的：应用超声仪器诊断输尿管末端囊肿并对其进行临床分析，探讨早期诊断的价值。

方法：分析经手术、病理证实的输尿管囊肿的超声表现特点，对其超声表现和手术观察作对照分析。

结果：经手术和病理证实，超声对30例输尿管囊肿做出正确诊断，其中双侧5例，单侧囊肿25例，囊肿直径为0．4 4．2cm，超声诊断符合率为93．8%（32/35个）。

单纯型22例，异位型8例，输尿管囊肿的大小与临床症状无明显关系，与肾积水程度无明显关系。

结论：超声检查能准确地诊断输尿管囊肿，判断其大小、位置及形态变化，有便捷、快速、重复性好、无创等优点，并对临床手术方案的选择提供较大的指导价值，可作为输尿管囊肿检查的首选方法。

【关键词】输尿管囊肿；超声诊断；异位型doi：10．3969/j．issn．1672－0369．2013．03．011中图分类号：R693．12；R445．1文献标识码：A文章编号：1672－0369（2013）03－0038－03The clinical value of ultrasound diagnosis for ureteroceleKONG Qing－feng，DONG Yang，GUO Bing－cheng，et al（The first people＇s hospital of Jining，Shandong272111，China）【Abstract】Objective：To evaluate the clinic value of characteristics and imaging examination for patients with hyterotopia Uret-erocele．Methods：30cases of ureterocele with diagnosis were included the study，all patients confirmed by surgical and pathological examination，clinical diagnosis and imaging feature with ureterocele were analyzed．Results：All ultrasound diagnosis of30cases were exactly correct，with5cases of both sides25cases of single side，and the diameter of ureterocele was between0．8and4．6mm．The accurate rate in diagnosis by ultrasonography was96．8%（32/35），Simple ureterocele were22cases，ectopic type were8．ectopic type were depended on imaging changes or clinic examination to diagnose，there was no obvious correlation between the clinical symp-tom and the size of ureterocele．Conclusions：Accusative diagnosis of ureterocele can be got by ultrasound check，with the advantages of convenience，fast diagnosis，possibility of repeated and noninvasive，and provided guidance value for operative procedures．It can be the first choice for the diagnosis of ureterocele in clinic．【Key words】Ureterocele；Ultrasonography；Ectopic type输尿管囊肿又称为输尿管膨出（Ureterocele），主要是由于输尿管末端先天发育异常所致的疾病，一些后天性原因导致的输尿管末端狭窄梗阻可引起继发性输尿管囊肿。