CAJ | 학술논문

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.
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.