国际放射医学核医学杂志
國際放射醫學覈醫學雜誌
국제방사의학핵의학잡지
INTERNATIONAL JOURNAL OF RADIATION MEDICINE AND NUCLEAR MEDICINE
2010年
4期
247-249
,共3页
尿路结石%碎石术%体层摄影术,X线计算机
尿路結石%碎石術%體層攝影術,X線計算機
뇨로결석%쇄석술%체층섭영술,X선계산궤
Urinary calculi%Lithotripsy%Tomography,X-ray computed
目的 探讨非增强螺旋CT值与上尿路结石气压弹道碎石(PL)易碎性的关系,为临床上选择合理的治疗方法提供更多依据.方法 93例行PL治疗的上尿路结石患者,按结石PL次数分成A、B、C 3组.将3组的平均CT值分别进行比较分析.结果 A、B、C 3组间的平均CT值差异均有统计学意义(F=3.271,P=0.000).结论 术前患者上尿路结石的平均CT值可以估计碎石的难易程度.在选择治疗方案和时机时要综合分析结石部位、数量、医师操作水平、设备性能、患者耐受性等因素.在结石易碎性因素上,建议对于CT值<900 HU且结石大小适宜(最大直径<2 cm)者首选PL治疗,而CT值>1200HU且体积较大(最大直径>2.5 cm)或超过4枚的多发结石者应选择手术取石.
目的 探討非增彊螺鏇CT值與上尿路結石氣壓彈道碎石(PL)易碎性的關繫,為臨床上選擇閤理的治療方法提供更多依據.方法 93例行PL治療的上尿路結石患者,按結石PL次數分成A、B、C 3組.將3組的平均CT值分彆進行比較分析.結果 A、B、C 3組間的平均CT值差異均有統計學意義(F=3.271,P=0.000).結論 術前患者上尿路結石的平均CT值可以估計碎石的難易程度.在選擇治療方案和時機時要綜閤分析結石部位、數量、醫師操作水平、設備性能、患者耐受性等因素.在結石易碎性因素上,建議對于CT值<900 HU且結石大小適宜(最大直徑<2 cm)者首選PL治療,而CT值>1200HU且體積較大(最大直徑>2.5 cm)或超過4枚的多髮結石者應選擇手術取石.
목적 탐토비증강라선CT치여상뇨로결석기압탄도쇄석(PL)역쇄성적관계,위림상상선택합리적치료방법제공경다의거.방법 93례행PL치료적상뇨로결석환자,안결석PL차수분성A、B、C 3조.장3조적평균CT치분별진행비교분석.결과 A、B、C 3조간적평균CT치차이균유통계학의의(F=3.271,P=0.000).결론 술전환자상뇨로결석적평균CT치가이고계쇄석적난역정도.재선택치료방안화시궤시요종합분석결석부위、수량、의사조작수평、설비성능、환자내수성등인소.재결석역쇄성인소상,건의대우CT치<900 HU차결석대소괄의(최대직경<2 cm)자수선PL치료,이CT치>1200HU차체적교대(최대직경>2.5 cm)혹초과4매적다발결석자응선택수술취석.
Objective To investigate the value of non-enhanced spiral CT for upper urinary tract calculi pneumatic lithotripsy (PL) and provide more scientific basis for clinical treatments. Methods Ninetythree PL treatment of patients with upper urinary tract stones were divided into A, B, C three groups according to the PL times. The average CT values were comparatively analyzed. Results The average CT values have a statistically significant difference ( F=43.271, P=0.000 ). Conclusions Patients with upper urinary tract stones before the average CT value can be used to estimate the difficulty of lithotripsy. In the choice of treatment times and programs, it should be comprehensive analysis of stone location, quantity, level of operator, equipment performance, patient tolerance and other factors. For the fragile factor of stone, it recommend that when CT value<900 HU and size of stones suitable (maximum diameter<2 cm), when the preferred PL, when the CT value>1200 HU and larger(maximum diameter>2.5 cm) or more than four multiple stones surgery should be selected.