摘要
目的探讨多层螺旋CT尿路成像技术(MSCTU)在泌尿系统疾病诊断中的应用价值。方法整理2006年1月至2009年4月临床资料完整的泌尿系疾病患者183例,均行多层螺旋CT平扫加增强扫描,并获得平扫、动脉期、实质期、排泄期、延迟期图像,并把所有信息传送至工作站进行最大密度投影(MIP)、多平面重组(MPR)及曲面重组(CPR),获得完整的尿路影像结果,回顾性分析其各自特点。结果肾盂、输尿管结石122例,膀胱结石3例,肾盂输尿管重复畸形5例,马蹄肾1例,巨输尿管征2例,肾盂癌7例,输尿管癌5例,膀胱癌累及输尿管出口21例,输尿管炎性狭窄13例,输尿管子宫瘘2例,肾盂腹腔瘘1例,外压性病变1例。结论 MSCTU对泌尿系疾病诊断具有明显优势和临床价值。
Objective To explore the value of muhi-slice spiral CT urography （MSCTU） in diagnosis of urinary tract diseases. Methods One hundred and elghty-three patients with urinary tract diseases who presented complete clinical data over the past 3 years were reviewed. All patients had undergone plain and contrast enhanced MSCTU. The imaging data in plain scan, arterial phase, parenchymal phase, excretory phase and lag period were collected and trans mitted to a workstation where maxinmn intensity projection （MIP）, muhiplanar reconstruction （MPR） and curved planar reconstruction （CPR） were performed so as to obtain integrated imaging of the urinary tract. The imaging features were then retrospectively analyzed. Results Of 183 cases, there were 122 cases of pelvic and ureteral calculi, 3 of bladder stone, 5 of pelvic and ureteral duplication, 1 of horseshoe kidney, 2 of megaureter, 7 of renal pelvic carcinomas, 5 of ureteral cancer, 21 of bladder cancer with involvement of ureteral orifice, 13 of inflammatory stricture of ureter, 2 of uretero-uterine fistulae, 1 of fistula of pelvis-abdominal cavity and 1 of compressive trauma. Conclusion MSCTU shows obvious advantages and clinical value in diaznosis of urinary tract disorders.
出处
《中国药物与临床》
CAS
2011年第9期1006-1009,共4页
Chinese Remedies & Clinics
