CT diagnosis of renal tuberculosis analysis of 27 cases of.docVIP

 PAGE \* MERGEFORMAT 7 CT diagnosis of renal tuberculosis analysis of 27 cases of Authors: LI Fu-lock, Li Jinqing, Zhang Yunquan [Keywords:] Renal tuberculosis; X-ray computed tomography Often secondary to pulmonary tuberculosis renal tuberculosis. In recent years, with the increased incidence of tuberculosis, renal tuberculosis is also an increasing trend year by year [1]. Since the early symptoms of renal tuberculosis often not typical, easily misdiagnosed cause not treated early. With the application of CT diagnosis, CT diagnosis of renal tuberculosis is increasingly recognized the value of clinical importance as the clinical diagnosis of renal tuberculosis is currently the best way. A clinical data 1.1 General Information 27 cases of renal tuberculosis in this group, 12 males and 15 females; aged 22 to 65 years old, with an average 44 years old. Clinical symptoms are: frequent urination, urgency, dysuria; blood pyuria, flank pain, fatigue and weight loss and so on. All cases were finally confirmed by clinical surgery and pathology. Tuberculosis, 8 cases in which right kidney, left renal tuberculosis in 15 cases, kidneys tuberculosis in 4 cases. 1.2 Methods GE’s machine using spiral CT scan, conventional plain first, followed by injection of iohexol 80 ~ 100 ml to enhance the 3 (cortex period, the real period, delay period) scan. Scan range from the upper pole of kidney (including the adrenal gland) to the lower pole of kidney, such as the ureter associated with expansion, the need to expand ureter full scan. Slice thickness 5 ~ 10 mm, increased injection speed 2 ~ 3 ml / s. Cortical latency period of 30 s, substantial period of delay 60s, delay period 5 ~ 10 min scan. 1.3 Results (1) The renal morphological changes: Early renal volume over unchanged, with the progression of renal contours appear deformation caused by the limitations of projections, post-contracture and other changes. Increased volume of cases in this group, 20 cases, accounting fo