成人急性局灶性细菌性肾炎的CT特点

发布时间：2018-04-19 05:09

  本文选题：细菌性肾炎 + 局灶性　； 参考：《临床放射学杂志》2017年09期

【摘要】：目的探讨成人急性局灶性细菌性肾炎(AFBN)的CT特征。方法回顾性分析11例经临床确诊或病理证实的成人AFBN患者的资料。所有患者均行CT平扫和增强扫描,影像征象由2名放射科医师同时分析。结果11例患者,共14只肾脏受累,22个病灶。病灶呈"楔形"和"肿块形"两种形态。前者共17个病灶,后者5个。所有病灶均表现为低密度、轻度强化。11例患者,5例多发,6例单发。5例出现肾周结构异常。2例表现为单发肿块形病灶,CT表现酷似乏血供肾肿瘤。结论成人AFBN在CT上有其表现特点,依据这些特点可以对其做出较准确的诊断。
[Abstract]:Objective to investigate the CT features of acute focal bacterial nephritis (AFBN) in adults.Methods the data of 11 adult AFBN patients confirmed by clinical diagnosis or pathology were analyzed retrospectively.All patients underwent plain CT scan and enhanced CT scan. The imaging signs were analyzed by two radiologists simultaneously.Results in 11 patients, 14 kidneys were involved and 22 lesions were involved.The lesions were wedge-shaped and lump-shaped.There were 17 lesions in the former and 5 in the latter.All the lesions showed low density, 5 cases with mild enhancement, 6 cases with multiple lesions and 6 cases with single renal structural abnormalities. 2 cases showed that the lesions appeared as a single lump-shaped lesion, and the CT findings were very similar to those of the renal tumors of lack of blood supply.Conclusion Adult AFBN has its CT features, according to which it can be accurately diagnosed.
【作者单位】： 大同市第三人民医院;北京大学第一医院;
【分类号】：R692.3;R816.7
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本文编号：1771697