CAJ | 학술논문

目的分析慢性肾盂肾炎的多层螺旋CT(MDCT)表现,探讨其在慢性肾盂肾炎中的诊断价值.方法对30例诊断为慢性肾盂肾炎的患者分别进行MDCT增强扫描、静脉肾盂造影(IVP)以及双肾彩超检查,并选取同时期内25例健康体检者作为对照.由两位不同年资的影像学医生进行分别评价.结果两位医师对病例的诊断一致性高(K=0.81,P＜0.05).另外,MDCT增强扫描较IVP、彩超在肾实质凹陷征,肾盂壁增厚、强化及肾盏轻度变形等方面的诊断率明显较高(均P＜0.05).结论 MDCT能够清晰观察到慢性肾盂肾炎患者肾脏形态的改变,诊断率较高,值得临床推广.
목적 분석만성신우신염적다층라선CT(MDCT)표현,탐토기재만성신우신염중적진단개치.방법 대30례진단위만성신우신염적환자분별진행MDCT증강소묘、정맥신우조영(IVP)이급쌍신채초검사,병선취동시기내25례건강체검자작위대조.유량위불동년자적영상학의생진행분별평개.결과 량위의사대병례적진단일치성고(K=0.81,P＜0.05).령외,MDCT증강소묘교IVP、채초재신실질요함정,신우벽증후、강화급신잔경도변형등방면적진단솔명현교고(균P＜0.05).결론 MDCT능구청석관찰도만성신우신염환자신장형태적개변,진단솔교고,치득림상추엄.
Objective To analyze the characteristics of multilayer spiral CT (MSCT) in chronic pyelonephritis,and to explore its clinical value in the diagnosis of chronic pyelonephritis.Methods 30 patients with chronic pyelonephritis were examined by MSCT enhancement scan,intravenous pyelogram (IVP) and double kidney color dopplar ultrasound.25 healthy people were selected as the control group.Two different seniority doctors evaluated the results separately.Results The diagnosis of two physicians had high consistency(K=0.8 1,P ＜ 0.05).In addition,compared with IVP and color dopplar ultrasound,the diagnostic rate of MSCT enhancement scanning in the renal parenchyma sag sign,renal pelvis wall thickening,strengthen and calyces mild deformation were significantly higher (P ＜ 0.05).Conclusion MSCT can clearly observe kidney form change in patients with chronic pyelonephritis,diagnostic rate is higher,it is worth clinical promotion.