原发性输尿管癌的MRI诊断.pdfVIP

医学影像学杂志2∞8 年第 18 卷第6 期 J Med 1m略ing Vol. 18 No.6 2008 原发性输尿管癌的 MRI 诊断 史英红，刘奉立，谢海柱，于本霞 (山东省烟台毓璜顶医院影像中心 山东烟台篇4αX)) 【摘 要] 目的:分析原发性输尿管癌的阳U 表现，评价阳U 对输尿管癌的诊断价值。方法:用 MR 1. 5/3.盯超导型扫 描机，采用传统 SE 技术行轴位飞WI、飞WI 扫描，如有梗阻则在梗阻平面行薄层脂肪抑制序列扫描，随后行冠状位及阻四 扫描。回顾性分析28 例输尿管癌的阳U 表现。结果:骂例均有输尿管梗阻和肾孟积水，病变位于上段7 例，中段5 例，下 段 16 例。 18 例病变呈结节状、分叶状、不规则克盈缺损;10 例病变呈浸润性生长，其中4 例腹主动脉旁和肾门旁淋巴结 肿大。病变累及输尿管长度平均3.5cm，病变横径平均1.1αn。阳U 信号为等、稍长飞等、稍长飞信号。 10 例病灶增强扫 描呈逐渐、均匀的轻度或中等异常强化。阳U 明确诊断25 例，误诊 3 例。结论:阳U 能明确输尿管病变的部位、形态、范 围和周围组织的改变，对输尿管癌的诊断具有重要价值。 【关键词] 输尿管肿瘤;诊断:磁共振成像 文章编号:1侧-佣11(2∞8)侃-侃179-ω 中图分类号:时37 . 13jR445 .2 文献标识码:A Diagnosis oc MRI 恤 primary 阻飞eteral carcinoma SHI 阶喀c 1wng ， UU Feng-li , XIE Hai-zhu , YU Ben-xia 。nter of 1m唔u啄， Yuhua咱ding Hc四rpital ， f(由山i 2臼α泊， P. R. China [Abstract] 伪~ective:To 叫阿the features of MIU in prima巧 ureteral carcinoma and to apprai盹出edi咱瞄tic value in prima巧 ureteral carcinoma with MIU. Methods: Wi出 the 阳l 1. 5/3.0 T su严rconductivity 配anner， routine SE axial T WI and T WI were 2 1 scaned , FS T WI was thinner scaned at the obstruction level , Coronary T WI and MRU 阴阳也quir叫. 10 cas臼 underwent additional Gd- 2 2 DJlA dynamic ∞ntrast enhanced 民ans. The阳U 阳fonnance of ureteral carcinoma in 28 阴阳凶 was analyzed rem刚到~tively . Results: Each case presented urina巧 obstruction and uretal hy击ocele. Seven lesi甸回 were located at the upper portion of 也ureter， five at mid- portion and sixteen at lower portion. 18 retr吨;rade ureteropyel嘈aphy of nod由r shaperal irregular , 10 iIÚÙ田.tive lesionsωgrow in 1oca- tion , 41严nphanode to elÙarge in surrounding of major arterial of al对删inal and rer凶1 hilum. The average le吨thand 叨dth of lesions were