查詢結果分析
相關文獻
- Implications of Sonographic Identification of Duplex Kidney in Adults
- 胎兒先天異常之超音波輔助子宮內治療
- Congenital Anomalies of the Central Nervous System: Ultrasound Findings with Magnetic Resonance Imaging Correlations
- The Effect of Changes in the Internal Structure of a Schooling Fish on the Estimation Efficiency by Acoustic Methods
- The Use of Stationary Hydroacoustic Transducer to Study Diel and Seasonal Influences on the Distribution of Fish School in Water Adjacent to the Cooling Water Intake of Nuclear Power Plant III
- Transcatheter Closure of Atrial Septal Defect Guided by On-Line Transesophageal Echocardiography
- Pelvic Abscess after Ultrasound-Guided Aspiration of Endometrioma: A Case Report
- Color Doppler Ultrasound Velocimetry of Internal Carotid Arteries in Normal Pregnancies
- Intraluminal Mucin Pool in Mucinous Gastric Adenocarcinoma: A Case Report
- Morbidity with Contemporary Transrectal Biopsy of the Prostate
頁籤選單縮合
題 名 | Implications of Sonographic Identification of Duplex Kidney in Adults=成人腎臟超音波檢查所見之雙腎盂腎--一回溯性分析研究 |
---|---|
作 者 | 李建德; 洪魁宏; 方振興; 陳妙禎; 陳靖博; 許國泰; | 書刊名 | 長庚醫學 |
卷 期 | 24:12 2001.12[民90.12] |
頁 次 | 頁779-785 |
分類號 | 415.8135 |
關鍵詞 | 先天異常; 雙腎盂腎; 雙套異常; 超音波; Congenital anomaly; Duplex kidney; Duplication anomaly; Sonography; |
語 文 | 英文(English) |
中文摘要 | 背景:雙套集尿系統是上泌尿道最常見的先天異常,大部份病患都是偶然被發現,臨床上多無症狀也不需要治療。但重要的是其合併的異常與可能引起的腎臟疾病。本回溯性分析的目地研究於一般成人腎臟超音波檢查裡發現雙腎盂腎的機率,並針對經泌攝影確定的病例評個超音波作為診斷的正確性。 方法:我們從1988年至1996年九年期間內,在高雄長庚醫院腎臟科接受腎超音波檢查19,287個受檢者中,研究雙腎盂腎的機率,並追?這些病例其泌尿攝影的結果及臨床表現的特性。 結果:共有163個受檢者其超音波檢查診斷為雙腎盂腎,佔全部受檢查0.85%,接受超音波檢查最常見的原因為泌尿道感染與腰部不適。只有64位(39.2%)接受泌攝影,而當中經泌攝影確定有雙腎盂腎先天異常者有45位(65.6%)。進一步的分析結果:4個病例有雙側雙腎盂腎,在總數為46例雙腎盂腎中,37例(80.4%)合併有雙套輸尿管,其中21.6%為完全型。我們 發其他合併先天異常在這些雙腎盂腎病例上,但4例同時有結石,另3例有多次泌道感染。我們還發現1例合併泌尿上皮惡性腫瘤,另有1例雙側雙套輸尿管患者有反覆性肉眼可見血尿。 結論:雙腎盂腎在一般腎臟超音波檢查裡並不常見,對於這種不具侵襲性檢查用在診斷雙腎盂腎的正確性如何,目前仍有爭議。但在操作中仍有若干因素會影響判讀。增加研判這種先天異常的檢查技巧及相關知識應有助於提高超音波的診斷正確性。 |
英文摘要 | Background: Duplication of the renal pelvis and ureter constitutes the most common anomalies of the upper urinary tract. Most patients are asymptomatic and don’t need treatment. However, the associated anomaly and acquired renal disease may cause morbidity and mortality. The aim of this study was to investigate the prevalence of duplex kidney in sonographic examinations and the predicative capability of this method. An analysis of patients with urography-confirmed duplication anomaly was also performed. Methods: During a period of 9 year (from 1988 to 1996), sonnographic examination records of 19,287 patients were reviewed. Patients with a diagnosis of duplex kidney were enrolled. Their clinical characteristics and radiological images were recorded and evaluated. Results: One hundred and sixty-three patients were found by sonography to have duplex kidney, for an prevalence of 0.85%. Urography studies were done on 64 (39.2%) patients, and 45 panties were proven to have duplex kidney. The posttive predictive rate of sonograpgy were proven to have duplex kidney. The positive predictive rate of sonograpgy was 65.6%. Eighty percent of patients with duplex kidney had associated ureteral duplication. No associated anomalies were found. Four patients had urolitiasis, and 3 patients had recurrent urinary tract infection. One patient had urolithiasis, and 3 patients had recurrent urinary tract infection. One patient had coexisting uroepithelial malignancy, and 1 patient had refractory gross hematuria. Conclusions: Duplex kidney is an uncommon finding during adult sonographic examinations. The sensitivity and specificity of sonography in identifying this anomaly are controversial. An experienced hand with good knowledge of the anomaly and its sonographic signs is helpful in more accurately diagnosing this anomaly. |
本系統中英文摘要資訊取自各篇刊載內容。