Ma Rui.Imaging-based diagnostic strategies of pediatric hydronephrosis[J].Journal of Clinical Pediatric Surgery,2020,19(03):199-202.[doi:10.3969/j.issn.1671-6353.2020.03.002]
儿童肾积水的影像学诊断策略
- Title:
- Imaging-based diagnostic strategies of pediatric hydronephrosis
- Keywords:
- Hydronephrosis; Radiography; Diagnosis; Child
- 分类号:
- R726.9;R445;R692.2
- 摘要:
- 儿童肾积水最常见的病因是肾盂输尿管连接部（uteropelvic junction，UPJ）狭窄，表现为肾盂肾盏扩张积水。临床上对儿童肾积水的诊断依赖于超声、静脉肾盂造影（intravenous pyelography，IVP）、MR尿路成像（MR urography，MRU）、CT尿路成像（CT urography，CTU）、核素扫描（SPECT肾动态扫描）等多种影像学检查。不同医疗机构设备和技术不尽相同，目前诊断儿童肾积水主要有超声+IVP+MRU、超声+CTU、超声+SPECT+MRU等几种影像学检查组合。本文就儿童肾积水各种影像学诊断方法的优缺点及最佳组合方式进行解读。
- Abstract:
- The most common cause of pediatric hydronephrosis is stenosis of uteropelvic junction (UPJ). The manifestations are dilatation and hydronephrosis of renal pelvis and calyx. The clinical diagnosis is dependent upon such diverse imaging tools as ultrasound, intravenous pyelography (IVP), MR urography (MRU), CT urography (CTU) and nuclide SPECT dynamic scan. Different medical institutions have the limitations of equipment and technology. The imaging combinations of ultrasound+IVP+MRU, ultrasound+CTU and ultrasound+SPECT+MRU are possible. Their advantages and disadvantages were discussed.
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备注/Memo
收稿日期:2019-04-28。
作者简介:马睿,Email:mary.03@163.com