CAJ | 학술논문

目的：探讨64排螺旋CT后处理技术对输尿管梗阻的诊断价值。方法选取我院2010年6至2013年6月间90例经临床确诊输尿管梗阻病例，所有病例均行64排容积CT扫描并进行多平面重建（multipla-nar reformatting，MPR）、容积重建（volume rendering technique，VR）、曲面重建（curved planar reformation，CPR）等处理。结果90例输尿管梗阻中78例由于输尿管结石所致，邻近器官压迫5例，输尿管癌或膀胱癌4例，先天畸形2例，输尿管炎1例。结论64排容积CT平扫及多种后处理技术对输尿管梗阻病因及定位诊断具有很高的临床应用价值，对临床治疗方案的选择具有重要指导意义。
목적：탐토64배라선CT후처리기술대수뇨관경조적진단개치。방법선취아원2010년6지2013년6월간90례경림상학진수뇨관경조병례，소유병례균행64배용적CT소묘병진행다평면중건（multipla-nar reformatting，MPR）、용적중건（volume rendering technique，VR）、곡면중건（curved planar reformation，CPR）등처리。결과90례수뇨관경조중78례유우수뇨관결석소치，린근기관압박5례，수뇨관암혹방광암4례，선천기형2례，수뇨관염1례。결론64배용적CT평소급다충후처리기술대수뇨관경조병인급정위진단구유흔고적림상응용개치，대림상치료방안적선택구유중요지도의의。
Objective To investigate the diagnostic value of post-processing technique for ureteral obstruction. Methods All cases were confirmed by surgery or clinical data. 64-slice volume CT (VCT) was performed in 90 cases with ureteral obstruction. The volume data of all patients were reconstructed with 3D reconstruction techniques in-cluding multiple planar reformation (MPR), and volume rendering technique (VR), and curved planar reformation (CPR). Results Among the 90 cases,there were 78 cases of ureteral calculus, 4 ureteral and bladder carcinomas, 2 congenital malformations,and 1 inflammatory stenosis. Conclusion 64-slice VCT and post-processing technique have unique advantage for the etiology and level diagnosis of ureteral obstruction ,which have important significance for clinical treatment programs.