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中国防痨杂志 ›› 2019, Vol. 41 ›› Issue (7): 779-781.doi: 10.3969/j.issn.1000-6621.2019.07.015

• 短篇论著 • 上一篇    下一篇

管壁增厚型输尿管结核超声扫描图像分析

于天琢(),张莹,孟君,苏冬明   

  1. 310003 杭州,浙江省中西医结合医院超声科
  • 收稿日期:2019-06-19 出版日期:2019-07-10 发布日期:2019-07-09
  • 通信作者: 于天琢 E-mail:ytz777@163.com
  • 基金资助:
    杭州市农业与社会发展科研主动设计项目(20190101A09)

Ultrasound scanning image analysis of thickened ureteral tuberculosis

Tian-zhuo YU(),Ying ZHANG,Jun MENG,Dong-ming SU   

  1. Department of Ultrasound, Integrated Chinese and Western Medicine Hospital of Zhejiang Province, Hangzhou 310003, China
  • Received:2019-06-19 Online:2019-07-10 Published:2019-07-09
  • Contact: Tian-zhuo YU E-mail:ytz777@163.com

摘要:

对11例经病理或实验室检查证实的输尿管结核患者的超声扫描图像进行回顾性分析。根据超声扫描图像所见,11例管壁增厚型输尿管结核可分为两种类型:节段性增厚型3例,单处或多处,每处病灶长度均<3cm,最厚处厚度为0.2~0.4cm,管壁黏膜层局限性毛糙、增厚,呈低回声或高回声,管壁内彩色血流信号不明显,管腔不规则变细、狭窄;弥漫增厚型8例,病灶长度均>3cm,其中1例为全程病变,增厚呈对称性或非对称性,最厚处的厚度为0.3~0.6cm,增厚的管壁回声高低不均,黏膜面尚光整。超声检查能够显示管壁增厚型输尿管结核的管壁增厚程度及内部回声等超声图像特征,对输尿管结核的诊断及监测具有较高的应用价值。

关键词: 输尿管疾病, 结核, 超声检查

Abstract:

The ultrasonographic images of 11 patients with ureteral tuberculosis confirmed by pathology or laboratory examination were retrospectively analyzed. According to the ultrasonographic images, 11 cases of ureteral tuberculosis with thickened wall could be divided into two types: 3 cases of segmental thickening type, single or multiple, each lesion was less than 3 cm in length, the thickness from 0.2 to 0.4 cm, the mucosal layer of the wall was localized rough and thickened, showing low or high echo, the color flow signal was not obvious, with ureteric irregular thinning and narrowing. In 8 cases with diffuse thickening type, the length of the lesion was more than 3 cm, of which 1 case was a whole-course lesion with symmetrical or asymmetric thickening, and the thickness from 0.3 to 0.6 cm. The thickened tube wall echo was uneven, and the mucosal surface was smooth. Ultrasound examination can display the degree of wall thickening and internal echo of ureteral tuberculosis, which has high application value in the diagnosis and monitoring of ureteral tuberculosis.

Key words: Ureteral diseases, Tuberculosis, Ultrasonography