CAJ | 학술논문

目的：通过对比多层螺旋 CT 尿路成像(MDCTU)和静脉肾盂造影(IVP)对泌尿系统疾病检出和诊断准确率，探讨MDCTU检查对泌尿系统疾病的临床应用价值和对IVP的优良替代性。方法：2011-2013年收治泌尿系疾病患者75例，均接受MDCTU和IVP检查。比较两种检查方法对泌尿系统疾病的检出及诊断差异，并与手术病理或临床随访结果对照。结果：经手术病理或临床随访证实，共发现结石39例，肿瘤14例，炎症8例，肾囊肿8例，创伤3例，先天性畸形3例。75例患者中MDCTU和IVP检查诊断检出率分别为96%(72/75)、52%(42/75)，两者差异有统计学意义(P＜0.05)。结论：CTU能够提供IVP所无法具备的丰富的诊断信息，对泌尿系统疾病检出、定性、周边侵犯等方面诊断明显优于IVP，完全可代替IVP而成为临床常规检查。
목적：통과대비다층라선 CT 뇨로성상(MDCTU)화정맥신우조영(IVP)대비뇨계통질병검출화진단준학솔，탐토MDCTU검사대비뇨계통질병적림상응용개치화대IVP적우량체대성。방법：2011-2013년수치비뇨계질병환자75례，균접수MDCTU화IVP검사。비교량충검사방법대비뇨계통질병적검출급진단차이，병여수술병리혹림상수방결과대조。결과：경수술병리혹림상수방증실，공발현결석39례，종류14례，염증8례，신낭종8례，창상3례，선천성기형3례。75례환자중MDCTU화IVP검사진단검출솔분별위96%(72/75)、52%(42/75)，량자차이유통계학의의(P＜0.05)。결론：CTU능구제공IVP소무법구비적봉부적진단신식，대비뇨계통질병검출、정성、주변침범등방면진단명현우우IVP，완전가대체IVP이성위림상상규검사。
Objective:By comparing the detection rate and the accurate rate of diagnosis of multi slice spiral CT urography(MDCTU) and multi-slice spiral CT imaging and urinary detection(MDCTU) and intravenous pyelography(IVP) in urinary system diseases,to explore the clinical application value and excellent alternative to IVP of MDCTU examination in urinary system disease.Results:75 cases with urinary tract diseases were selected from 2011 to 2013.They were given MDCTU and IVP examination.We compared the detection rate and the accurate rate of the two check modes,and compared it with operation and pathology or clinical follow-up results.Results:Proved by operation and pathology or clinical follow-up,39 cases were calculi;14 cases were tumor;8 cases were inflammation;8 cases were renal cysts;3 cases were trauma;3 cases were congenital malformation.In 75 cases,the detection rate of MDCTU and IVP were 96% (72/75) and 52% (42/75),and the difference was statistically significant(P<0.05).Conclusion:CTU can provide abundant diagnostic information which IVP cannot be made.The diagnosis of urinary system disease detection,qualitative, surrounding invasion are significantly better than that of IVP.It can replace IVP and become clinical routine examination.