普通二维超声对输尿管囊肿的诊断与分型探讨

Diagnosis and Typing of Ureterocysts by Ultrasonography

目的 运用普通二维超声探讨对输尿管囊肿的诊断与分型的应用价值。方法 根据超声所见输尿管囊肿所在不同解剖位置将输尿管囊肿分为四型 :⑴囊内型 :囊肿完全位于膀胱内 ;⑵壁外型 :囊肿位于膀胱壁外侧 ;⑶混合型 :囊肿部份位于膀胱内 ,部份在膀胱壁外侧 ;⑷异位型 :囊肿位于膀胱颈或尿道 ,常合并重复肾和输尿管开口异常。结果 15例输尿管囊肿患者中 ,3例为双侧性 ,共 18个囊肿 ,囊肿直径为 0 4cm～ 6 0cm ,其中 ,囊内型 8例 ,9个囊肿 ;壁外型 2例 ,2个囊肿 ;混合型 5例 ,7个囊肿 ;异位型在本研究中暂未见到。全部病例经静脉尿路造影证实 ,其中 6例经外科手术治疗且病理证实。结论 普通二维超声对输尿管囊肿的诊断与分型有较高的临床应用价值。

Objective To explore the utility of the diagnosis and typing to the ureterocysts using ultrasonography.Methods Based on the difference of anatomical location and appearance of cysts.the ureterocysts were divided into 4 types as fllowing:⑴Type of inside bladder:ureterocysts completely location in the inside of bladder.⑵Type of outside bladder:ureterocysts completely location in the outside of bladder.⑶Type of mixture:a part of cysts location in the inside of balader and other part localed in the outsider.⑷Type of ectopia:rare,cysts location in the neck of bladder or urethra usually complicated whith double kidney and abnormal location in the end of the ureter.Results UItrasonographic manifestations of 15 cases for ureterocele were reported.There were 3 cases of bilateral ureterocele and 18 cysts with a diameter 0 4cm～6 0cm. In which ,Type of inside bladder had 8 cases with 9cysts altogether .Type of outside bladdder had 2cases with 2 cysts only,Type of mixture had 5cases with 7 cysts;Type of ectopia had no one in this report .All cases were confirmed by ureteropyelography,in which,6 cases confirmed by surgical pathological examinations.Conclusion Ultrasonography has a high clinical value in the diagnosis and typing of ureterocele.