结核病与肺部健康杂志 ›› 2018, Vol. 7 ›› Issue (4): 311-316.doi: 10.3969/j.issn.2095-3755.2018.04.017

• 综述 • 上一篇    下一篇

泌尿系统结核的影像诊断现状与进展

郑阳,王晓明()   

  1. 110004 沈阳,中国医科大学附属盛京医院放射科
  • 收稿日期:2018-11-12 出版日期:2018-12-30 发布日期:2019-01-08
  • 通信作者: 王晓明 E-mail:wangxm024@163.com
  • 基金资助:
    中国医科大学附属盛京医院自由研究者(201402)

Current status and progress of imaging diagnosis in patients with urinary tract tuberculosis

Yang ZHENG,Xiao-ming WANG()   

  1. Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China
  • Received:2018-11-12 Online:2018-12-30 Published:2019-01-08
  • Contact: Xiao-ming WANG E-mail:wangxm024@163.com

摘要:

泌尿系统结核主要包括肾结核、输尿管结核及膀胱结核,且大多数继发于肺结核、肠结核或骨关节结核等其他部位结核,其中继发于肺结核最常见。泌尿系统结核进行影像学检查的技术包括:肾、输尿管、膀胱X线摄影(即X线腹部平片)(KUB)、静脉肾盂造影(IVP)、逆行肾盂造影、CT扫描、MRI等,可以从形态、结构及功能反映泌尿系统结核的特征。上述成像技术有各自的优点,同时也有一定的局限性,多种检查方法联合应用能够提高泌尿系统结核正确诊断率。

关键词: 结核,泌尿生殖系统, 诊断显像, 疾病特征

Abstract:

Urinary tract tuberculosis mainly includes renal tuberculosis, ureteral tuberculosis and bladder tuberculosis, and most of them are secondary to pulmonary tuberculosis, intestinal tuberculosis or bone and joint tuberculosis, the most common is secondary to pulmonary tuberculosis. The imaging examination methods in diagnosis of urinary system tuberculosis include kidney, ureter and bladder X-ray examination (KUB, abdominal X-ray), intra venous pyelogram (IVP), retrograde ureteropyelography, CT scan and MRI, etc., which can reflect the characteristics of urinary tract tuberculosis from the aspects of morphology, structure and function. Those imaging methods have their own advantages and also have certain limitations. Combined application of multiple examination methods can increase accurate diagnose rate of urinary tract tuberculosis.

Key words: Tuberculosis, urogenital, Diagnostic imaging, Disease attributes