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[泌尿系统放射性损伤的超声诊断]

[Ultrasonic diagnosis of radiation injuries of the urinary system].

作者信息

Mukhamedzhanov I Kh, Kiseleva M V, Kurpesheva A K, Poltorakov A M

出版信息

Med Radiol (Mosk). 1991;36(4):8-11.

PMID:2034095
Abstract

The paper is concerned with the results of ultrasound investigation of the kidneys and bladder in 78 patients with radiation injuries of pelvic tissues and organs. Comparison of the results of USI, isotope renography and excretory urography has shown that with an increase in the gravity of injury of the urinary system, the frequency of ultrasound findings rises from 60.8% in renal dysfunction of a mean gravity up to 91.2% in severe disorders. Echography data on the presence of hydronephrosis, pyelocaliectasis, a granular kidney, pyelonephritis, and nephroptosis usually coincided with the results of excretory urography in these patients. A combined use of echography and renography permits obtaining in most cases necessary data on structural and functional disorders of the urinary tracts. Echographic semiotics of radiation cystitis was studied in detail versus cystoscopy data. The informative value of ultrasound scanning of the bladder was observed in patients with radiation cystitis.

摘要

本文关注78例盆腔组织和器官放射性损伤患者肾脏及膀胱的超声检查结果。超声检查(USI)、同位素肾图和排泄性尿路造影结果的比较显示,随着泌尿系统损伤程度加重,超声检查结果出现异常的频率从平均损伤程度的肾功能不全时的60.8%上升至严重病变时的91.2%。这些患者中,关于肾积水、肾盂扩张、颗粒状肾、肾盂肾炎和肾下垂的超声检查数据通常与排泄性尿路造影结果相符。在大多数情况下,联合使用超声检查和肾图检查可获取有关尿路结构和功能紊乱的必要数据。对照膀胱镜检查数据,对放射性膀胱炎的超声征象进行了详细研究。在放射性膀胱炎患者中观察到膀胱超声扫描的诊断价值。

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