中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
3期
11-13
,共3页
体层摄影术%X线计算机%静脉肾盂造影%螺旋计算机%泌尿系统%结石%肿瘤%诊断
體層攝影術%X線計算機%靜脈腎盂造影%螺鏇計算機%泌尿繫統%結石%腫瘤%診斷
체층섭영술%X선계산궤%정맥신우조영%라선계산궤%비뇨계통%결석%종류%진단
Tomography%X-ray computed%Intravenous pyelography%Spiral computed%Urologic system%Calculus%Cancer%Diagnosis
目的 探讨64层螺旋CT尿路成像技术(CTU)对泌尿系统疾病的诊断价值.比较CT尿路成像技术和静脉肾盂造影(IVP)检查诊断泌尿系统疾病的准确率.方法 总结2年来泌尿系疾病患者217例完整的临床资料,其中输尿管和肾结石87例,输尿管和肾盂肿瘤66例,膀胱肿瘤35例,肾盂源性囊肿和肾盂旁囊肿13例,肾盂输尿管连接处畸形9例,双侧巨输尿管症7例.全部进行64层螺旋CT尿路成像检查,对影像学资料进行回顾性分析.结果 217例患者中CTU和IVP检查诊断准确率分别为98.2％(213/217)、65.4％(142/217).CTU、IVP检查所用时间分别为(19.1±2.9)、(65.3±24.8)min,两者比较差异有统计学意义(P＜0.05).结论 CTU可多角度观察病变局部情况,且扫描时间更短,图像分辨率更高.此检查在诊断泌尿系统疾病准确率、了解病变周围组织情况以及对梗阻远端尿路显示率方面明显优于IVP,可应用于绝大多数的泌尿系统疾病患者中.
目的 探討64層螺鏇CT尿路成像技術(CTU)對泌尿繫統疾病的診斷價值.比較CT尿路成像技術和靜脈腎盂造影(IVP)檢查診斷泌尿繫統疾病的準確率.方法 總結2年來泌尿繫疾病患者217例完整的臨床資料,其中輸尿管和腎結石87例,輸尿管和腎盂腫瘤66例,膀胱腫瘤35例,腎盂源性囊腫和腎盂徬囊腫13例,腎盂輸尿管連接處畸形9例,雙側巨輸尿管癥7例.全部進行64層螺鏇CT尿路成像檢查,對影像學資料進行迴顧性分析.結果 217例患者中CTU和IVP檢查診斷準確率分彆為98.2％(213/217)、65.4％(142/217).CTU、IVP檢查所用時間分彆為(19.1±2.9)、(65.3±24.8)min,兩者比較差異有統計學意義(P＜0.05).結論 CTU可多角度觀察病變跼部情況,且掃描時間更短,圖像分辨率更高.此檢查在診斷泌尿繫統疾病準確率、瞭解病變週圍組織情況以及對梗阻遠耑尿路顯示率方麵明顯優于IVP,可應用于絕大多數的泌尿繫統疾病患者中.
목적 탐토64층라선CT뇨로성상기술(CTU)대비뇨계통질병적진단개치.비교CT뇨로성상기술화정맥신우조영(IVP)검사진단비뇨계통질병적준학솔.방법 총결2년래비뇨계질병환자217례완정적림상자료,기중수뇨관화신결석87례,수뇨관화신우종류66례,방광종류35례,신우원성낭종화신우방낭종13례,신우수뇨관련접처기형9례,쌍측거수뇨관증7례.전부진행64층라선CT뇨로성상검사,대영상학자료진행회고성분석.결과 217례환자중CTU화IVP검사진단준학솔분별위98.2％(213/217)、65.4％(142/217).CTU、IVP검사소용시간분별위(19.1±2.9)、(65.3±24.8)min,량자비교차이유통계학의의(P＜0.05).결론 CTU가다각도관찰병변국부정황,차소묘시간경단,도상분변솔경고.차검사재진단비뇨계통질병준학솔、료해병변주위조직정황이급대경조원단뇨로현시솔방면명현우우IVP,가응용우절대다수적비뇨계통질병환자중.
Objective To investigate the diagnostic value of 64-slice spiral CT urography(CTU) on patients with diseases of urinary system,and compare the diagnostic accuracy of computed tomography urography(CTU) and conventional intravenous pyelography (IVP)in diagnosis of urologic disease.Methods Two hundred and seventeen patients with urinary tract diseases who presented complete clinical data over the past 2 years were reviewed.There were 87 cases of ureterolithiasis and nephrolithiasis,66 cases of cancer in ureter and pelvis,35 cases of cancer in bladder,13 cases of parapelvic cyst and pyelogenic cyst,9 cases of ureteropelvic junction obstruction(UPJO),7 cases of megaloureter.All of the cases underwent 64-slice CT urography,and the images were analyzed retrospectively.Results The accuracy of diagnosis was 98.2％ (213/217) in CTU group and 65.4％ (142/217) in IVP group.The examination time was (19.1 ± 2.9) rmin in CTU group and (65.3 ± 24.8) min in IVU group.There were significant differences between the two groups (P ＜ 0.05).Conclusions 64-slice CT urography can observe the local lesion in multi-angle,and the scan time is shorter,image resolution is higher.The CTU can provide more information than conventional IVP.It could be applied in the vast majority of patients with urinary system diseases.
