中国介入影像与治疗学
中國介入影像與治療學
중국개입영상여치료학
CHINESE JOURNAL OF INTERVENTIONAL IMAGING AND THERAPY
2011年
5期
408-411
,共4页
柴瑾%黄宝生%郑生喜%燕丽红%张丽萍%虎玉兰
柴瑾%黃寶生%鄭生喜%燕麗紅%張麗萍%虎玉蘭
시근%황보생%정생희%연려홍%장려평%호옥란
泌尿系病变%尿路造影术%体层摄影术%X线计算机
泌尿繫病變%尿路造影術%體層攝影術%X線計算機
비뇨계병변%뇨로조영술%체층섭영술%X선계산궤
Urologic diseases%Urography%Tomography,X-ray computed
目的 探讨多层螺旋CT泌尿系成像(MSCTU)在泌尿系病变中的应用价值.方法采用64层螺旋CT对60例临床疑诊泌尿系病变患者行泌尿系容积扫描及三维重建,评价MSCTU对泌尿系病变的诊断价值.结果 泌尿系肿瘤14例,输尿管息肉2例,泌尿系结核9例,泌尿系结石13例,良性狭窄并积水13例,邻近器官病变累及输尿管致积水2例,泌尿系外伤性病变2例,肾梗死1例,术后随访复查者4例,未见异常2例.其中28例经手术病理证实,MSCTU诊断泌尿系肿瘤的敏感度100%(14/14),特异度85.71%(12/14),准确率92.86%(26/28).结论MSCTU能够直接清晰显示肾脏、输尿管、膀胱病变,可作为临床疑诊泌尿系病变患者、特别是肿瘤患者的首选检查方法.
目的 探討多層螺鏇CT泌尿繫成像(MSCTU)在泌尿繫病變中的應用價值.方法採用64層螺鏇CT對60例臨床疑診泌尿繫病變患者行泌尿繫容積掃描及三維重建,評價MSCTU對泌尿繫病變的診斷價值.結果 泌尿繫腫瘤14例,輸尿管息肉2例,泌尿繫結覈9例,泌尿繫結石13例,良性狹窄併積水13例,鄰近器官病變纍及輸尿管緻積水2例,泌尿繫外傷性病變2例,腎梗死1例,術後隨訪複查者4例,未見異常2例.其中28例經手術病理證實,MSCTU診斷泌尿繫腫瘤的敏感度100%(14/14),特異度85.71%(12/14),準確率92.86%(26/28).結論MSCTU能夠直接清晰顯示腎髒、輸尿管、膀胱病變,可作為臨床疑診泌尿繫病變患者、特彆是腫瘤患者的首選檢查方法.
목적 탐토다층라선CT비뇨계성상(MSCTU)재비뇨계병변중적응용개치.방법채용64층라선CT대60례림상의진비뇨계병변환자행비뇨계용적소묘급삼유중건,평개MSCTU대비뇨계병변적진단개치.결과 비뇨계종류14례,수뇨관식육2례,비뇨계결핵9례,비뇨계결석13례,량성협착병적수13례,린근기관병변루급수뇨관치적수2례,비뇨계외상성병변2례,신경사1례,술후수방복사자4례,미견이상2례.기중28례경수술병리증실,MSCTU진단비뇨계종류적민감도100%(14/14),특이도85.71%(12/14),준학솔92.86%(26/28).결론MSCTU능구직접청석현시신장、수뇨관、방광병변,가작위림상의진비뇨계병변환자、특별시종류환자적수선검사방법.
Objective To investigate the value of 64-slice CT urography (CTU) in diagnosis of urologic diseases.Methods Sixty patients with suspected urinary system diseases underwent 64-slice CT volume scanning and 3D reconstructions.The diagnostic value of 64-slice CTU was evaluated.Results There were 14 patients with urinary system cancers,2 with ureter polyp,9 with tuberculosis of urinary system,13 with urinary system calculus,13 with nonmalignant ureterostenosis combined with hydronephrosis,2 with ureterostenosis and hydronephrosis induced by nearby organic damage,2 with traumatism,1 with renal occlusion,as well as 4 after urinary tract surgeries and 2 without abnormality.Totally 28 cases was confirmed with surgery and pathology,the sensitivity,specificity and accuracy of MSCTU for upper tract tumor was 100%(14/14),85.71% (12/14) and 92.86% (26/28),respectively.Conclusion MSCTU is able to directly and clearly show urologic diseases.It can be regarded as the first choice in patients with clinically suspected urinary tract diseases,especially tumors.