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目的:探讨超声对肾结核的诊断与分型的临床价值,以提高超声对肾结核的诊断率。方法:分析55例经临床确诊、治疗有效、资料完整的肾结核患者的超声图像特征。结果:55例肾结核患者中,经超声检查证实符合者46例,检出符合率约83.63%;声像图分型:1肾盂、肾盏扩张型23例(41.82%);2无回声型12例(21.82%);3混合回声型15例(27.27%);4强回声型、钙化型5例(9.09%)。结论:肾结核声像图表现复杂,超声因众多优点,对肾结核的诊断与分型具有较高的临床运用价值,可作为肾结核首选诊断方法之一。
Objective: To investigate the clinical value of ultrasound in the diagnosis and classification of renal tuberculosis in order to improve the diagnostic rate of ultrasound on renal tuberculosis. Methods: 55 cases of clinically diagnosed, effective treatment, data complete renal tuberculosis patients with ultrasound image characteristics. Results: Among the 55 cases of renal tuberculosis, 46 cases were confirmed by ultrasound examination, and the coincidence rate was 83.63%. The sonography and radiofrequency ablation were 23 cases (41.82%), 2 anechoic 12 cases (21.82%); 3 mixed echo 15 cases (27.27%); 4 echogenic and calcified 5 cases (9.09%). Conclusion: The manifestations of renal tuberculosis are complicated. Ultrasound has many advantages in diagnosis and classification of renal tuberculosis. It has high clinical value and can be used as the first choice of diagnosis of renal tuberculosis.