摘要
目的探讨多排螺旋CT泌尿系造影(CTU)与传统静脉尿路造影(IVU)的应用价值。方法选取本院收治的127例泌尿系病变患者,全部患者均行IVU、CTU检查,以临床综合诊断结果为参考依据,分析上述两种影像学检查方法诊断泌尿系病变的结果。结果 127例泌尿系病变患者中膀胱结石占比0.78%,输尿管结石占比28.35%,肾结石占比37.01%,泌尿系结石占比66.14%,泌尿系畸形占比6.30%,感染性病变占比12.60%,肿瘤占比14.96%;CTU诊断泌尿系病变的准确率为86.61%,高于IVU的69.29%(P<0.05);其中CTU诊断泌尿系结石、泌尿系畸形的准确率为89.29%、87.50%,与IVU的83.33%、75.00%比较差异无统计学意义,CTU诊断肿瘤、感染性病变的准确率为73.68%、87.50%,高于IVU的36.84%、31.25%(P<0.05)。结论 CTU和IVU在泌尿系结石、泌尿系畸形患者的诊断中结果比较差异无统计学意义,但与IVU比较,CTU诊断肿瘤、感染性病变的准确率更高,在泌尿系病变的诊断中具有重要的应用价值。
Objective To explore the application value of multi-slice spiral CT urography(CTU)and traditional intravenous urography(IVU).Methods 127 patients with urinary tract disease admitted to our hospital were enrolled.All patients underwent IVU and CTU examinations.The results of the above two imaging methods were used to diagnose urinary tract lesions.Results Among 127 patients with urinary tract disease,the proportion of bladder stones(0.78%),the proportion of ureteral stones(28.35%),the proportion of kidney stones(37.01%),the proportion of urinary stones(66.14%),urinary malformations Ratio(6.30%),the proportion of infectious lesions(12.60%),tumor proportion(14.96%);CTU diagnosis of urinary tract lesions accuracy(86.61%)was higher than IVU(69.29%)(P<0.05);The accuracy of diagnosis of urinary calculi and urinary malformations was(89.29%,87.50%),and there was no significant difference between the diagnostic accuracy of IVU(83.33%,75.00%).CTU diagnosed tumors and infectious diseases.The accuracy rate(73.68%,87.50%)was higher than that of IVU(36.84%,31.25%)(P<0.05).Conclusion The results of CTU and IVU are similar in the diagnosis of urinary calculi and urinary malformations.However,compared with IVU,CTU has higher accuracy in diagnosing tumors and infectious diseases.It has a diagnosis of urinary tract lesions.Important application value.
作者
白佃龙
台沐宝
张显
Bai Dianlong;Tai Mubao;Zhang Xian(Department of Radiology,Zhucheng People's Hospital of Shandong Province,Zhucheng,Shandong,262200,China)
出处
《当代医学》
2020年第35期98-100,共3页
Contemporary Medicine
