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为进一步探讨肾结核超声显像诊断与分型的价值,报道资料完整、经手术和病理诊断证实的53例肾结核的超声显像结果。超声显像诊断肾结核的符合率为86.8%(46/53)。根据46例肾结核的声像图表现和大体病理改变不同,将肾结核归纳为五种类型。Ⅰ肾囊肿型,本组23例;Ⅱ肾积水型,本组7例;Ⅲ肾积脓型,本组5例;Ⅳ混合型,本组6例;Ⅴ肾重度钙化型,本组5例。超声不仅可检测肾的大小与形态,观察肾内有无结核病变,同时可与肾的其它疾病鉴别,并且尚可根据结核病变的累及范围与程度等进行声像图分型,为临床制定相应的治疗方案提供较为可靠的依据。
In order to further explore the value of diagnosis and classification of renal tuberculosis ultrasound imaging, reported data is complete, confirmed by surgery and pathological diagnosis of 53 cases of renal tuberculosis ultrasound imaging results. The coincidence rate of ultrasound diagnosis of renal tuberculosis was 86.8% (46/53). According to 46 cases of renal tuberculosis and sonographic manifestations of gross pathological changes are different, the renal tuberculosis will be divided into five types. Ⅰ renal cyst type, the group of 23 cases; Ⅱ hydronephrosis, the group of 7 cases; Ⅲ renal pyorrhea type, the group of 5 cases; Ⅳ mixed type, the group of 6 cases; Ⅴ renal calcification type, the group 5 example. Ultrasound can not only detect the size and shape of the kidney, observe the presence of tuberculosis in the kidney, and other diseases can be identified with the kidney, and tuberculosis can still be based on the scope and extent of involvement of the sonographic mapping, the clinical development of the corresponding Treatment programs provide a more reliable basis.