MRU、IVU、CTU在泌尿系统疾病检查中的对照研究
发布时间：2018-08-22 14:11
【摘要】：目的评价高场强磁共振泌尿系水成像技术(MRU)、静脉尿路造影技术(IVU)与多层螺旋CT泌尿系成像技术(CTU)在泌尿系统疾病检查中的应用价值。方法回顾性分析140例经手术病理和临床随访证实为泌尿系统疾病患者的影像学资料。行MRU检查101例,行IVU检查91例,行CTU检查38例。其中同时行IVU及MRU检查者68例,同时行IVU及CTU检查者29例,同时行CTU及MRU检查者11例,有7例患者同时行3项检查。结果与金标准诊断结果相比,7种组合的检查方法对泌尿系统疾病的诊断一致率差异有统计学意义(P0.05),其中IVU检查一致率最低,仅为38.46%,而MRU与CTU检查的一致率分别为78.22%及86.84%,差异无统计学意义(P0.05),CTU联合MRU检查与金标准的一致率为100.00%,高于单纯MRU检查的一致率78.22%,差异有统计学意义(P0.05)。结论 IVU价格低廉,适合基层医院和筛查病变。MRU无创、无射线损害,适合孕妇、儿童及造影剂过敏者,并且可作为首选或IVU之后的进一步检查手段。MRU结合CTU可提高诊断准确率,但CTU价格昂贵,患者接受射线量大,不宜作为常规检查。
[Abstract]:Objective to evaluate the value of high field magnetic resonance urography (MRU),) intravenous urography (IVU) and multislice spiral CT urography (CTU) in the examination of urinary system diseases. Methods the imaging data of 140 patients with urinary system diseases confirmed by operation, pathology and clinical follow-up were retrospectively analyzed. MRU was performed in 101 cases, IVU in 91 cases and CTU in 38 cases. Among them, 68 cases were examined by IVU and MRU, 29 cases by IVU and CTU, 11 cases by CTU and MRU, and 7 cases by 3 items at the same time. Results compared with the diagnostic results of gold standard, there was a significant difference in the diagnostic consistency rate of the seven combined methods for urinary system diseases (P0.05), in which the consistent rate of IVU was the lowest. The consistency rate of MRU and CTU was 78.22% and 86.84, respectively. There was no significant difference (P0.05). The concordance rate between MRU and gold standard was 100.000.This was higher than that of MRU alone (78.22%). The difference was statistically significant (P0.05). Conclusion IVU is low in price, suitable for primary hospital and non-invasive screening. MRU is suitable for pregnant women, children and those with contrast medium allergy, and can be used as the first choice or further examination method after IVU. MRU combined with CTU can improve the diagnostic accuracy. However, CTU is expensive, patients receive large amounts of radiation, should not be used as a routine examination.
【作者单位】： 新疆医科大学附属中医医院影像中心;
【分类号】：R691
[Abstract]:Objective to evaluate the value of high field magnetic resonance urography (MRU),) intravenous urography (IVU) and multislice spiral CT urography (CTU) in the examination of urinary system diseases. Methods the imaging data of 140 patients with urinary system diseases confirmed by operation, pathology and clinical follow-up were retrospectively analyzed. MRU was performed in 101 cases, IVU in 91 cases and CTU in 38 cases. Among them, 68 cases were examined by IVU and MRU, 29 cases by IVU and CTU, 11 cases by CTU and MRU, and 7 cases by 3 items at the same time. Results compared with the diagnostic results of gold standard, there was a significant difference in the diagnostic consistency rate of the seven combined methods for urinary system diseases (P0.05), in which the consistent rate of IVU was the lowest. The consistency rate of MRU and CTU was 78.22% and 86.84, respectively. There was no significant difference (P0.05). The concordance rate between MRU and gold standard was 100.000.This was higher than that of MRU alone (78.22%). The difference was statistically significant (P0.05). Conclusion IVU is low in price, suitable for primary hospital and non-invasive screening. MRU is suitable for pregnant women, children and those with contrast medium allergy, and can be used as the first choice or further examination method after IVU. MRU combined with CTU can improve the diagnostic accuracy. However, CTU is expensive, patients receive large amounts of radiation, should not be used as a routine examination.
【作者单位】： 新疆医科大学附属中医医院影像中心;
【分类号】：R691
【参考文献】
相关期刊论文 前5条
1 蒋宇宏,刘海滨;静脉尿路造影术与MR水成像技术在泌尿系统疾病检查中的对比分析[J];中国中西医结合影像学杂志;2004年04期
2 陈克敏,钟U，
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