CAJ | 학술논문

目的：探讨多层螺旋CT尿路成像(spiral CT urography，CTU)对成人重复肾输尿管畸形及其并发症及合并症的诊断价值。方法15例成人重复肾输尿管畸形患者，均行多层螺旋CT泌尿系检查，获取原始图像数据后，在工作站使用软件对图像进行后处理。结果 CTU明确诊断15例重复肾输尿管畸形；其中单侧13例，双侧2例。并发输尿管结石2例，急性肾盂肾炎伴肾旁感染1例；合并肾癌、肾盂及输尿管癌各1例，输尿管下段囊肿2例，输尿管异位开口3例，肾融合1例，单纯性肾囊肿5例。结论 CTU能为诊断成人重复肾输尿管畸形及其并发症、合并症提供确切依据。
목적：탐토다층라선CT뇨로성상(spiral CT urography，CTU)대성인중복신수뇨관기형급기병발증급합병증적진단개치。방법15례성인중복신수뇨관기형환자，균행다층라선CT비뇨계검사，획취원시도상수거후，재공작참사용연건대도상진행후처리。결과 CTU명학진단15례중복신수뇨관기형；기중단측13례，쌍측2례。병발수뇨관결석2례，급성신우신염반신방감염1례；합병신암、신우급수뇨관암각1례，수뇨관하단낭종2례，수뇨관이위개구3례，신융합1례，단순성신낭종5례。결론 CTU능위진단성인중복신수뇨관기형급기병발증、합병증제공학절의거。
Objective To investigate the diagnostic value of multi-slice spiral CT urography (CTU) in adult duplication of renal pelvis and ureter, its complications and comorbidities. Methods 15 cases who proved duplication of renal pelvis and ureter were underwent CTU. The primary data was transfored to the workstation, and images was post-processed by software. Results All the 15 cases were diagnosed duplication of renal pelvis and ureter definitely. Among them 13 cases were unilateral, and 2 cases were bilateral. 2 cases were associated with ureteral calculi, and 1 case was associated with acute pyelonephritis and renal infection. 1 case was complicated with renal cell carcinoma of renal pelvic and ureteral carcinoma, and 2 cases with lower ureteral cyst, 3 cases with ectopic ureter, 1 case with renal fusion and 5 cases with simple renal cyst. Conclusion CTU is an ideal method to the diagnosis of adult duplication of renal pelvis and ureter.